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Paper Chase 3 - Lysis of Intermediate Risk PE

Sanjay Arora, MD and Mike Menchine, MD
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04:34
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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00:47

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EM:RAP 2017 August Summary 718 KB - PDF

To lyse or not to lyse intermediate risk PE, that is the question. This 3 year follow up study of patients with submassive pulmonary embolism found that about 30% have mild dyspnea or functional limitation regardless of whether they were treated with thrombolytics + anticoagulants vs. anticoagulants alone.

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Shawn L., M.D. -

Another great EM: rap episode.

I have to take some issue with some of the approach difficult conversations with physician colleagues. Yes, it is a great idea to ask people how they were doing and to raise the issue of bigger trouble's outside of work if someone seems that they are not doing well. However, significant peril in to attempting to "diagnose" a colleague, let alone someone that you are in supervisory role over. Is not appropriate to be asking a subordinate about protected health information or mental health symptoms aside from ascertaining that they are not acuity suicidal. If you are concerned that a coworker is stressed and could benefit from exploring mental health/wellness issues my suggestion is to refer them to their primary care doctor or your employee assistance program. Leave the diagnosis and management to their treating practitioner – as an employer it is really only appropriate to ascertain that the person is "fit for duty" and able to safely perform their role as a physician.

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Challenging Foleys, Conversations, and Intubations Full episode audio for MD edition 245:15 min - 342 MB - M4AEM:RAP 2017 August Aussie Edition Australian 16:18 min - 22 MB - MP3EM:RAP 2017 August German Edition Deutsche 69:31 min - 96 MB - MP3EM:RAP 2017 August French Edition Français 41:16 min - 57 MB - MP3EM:RAP 2017 August Spanish Edition Español 153:43 min - 211 MB - MP3EM:RAP 2017 August Board Review Answers 234 KB - PDFEM:RAP 2017 August Board Review Questions 180 KB - PDFEM:RAP 2017 August MP3 315 MB - ZIPEM:RAP 2017 August Spanish Summary 1 MB - PDFEM:RAP 2017 August Summary 718 KB - PDF

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