The use of vasopressors and inotropes to treat hypotension is common in the emergency department. It is now standard to start off with norepinephrine as your 1st line agent to treat shock in the ED. But is norepi always that best choice? What if you need a second agent? Treatment of hypotension should […]
Acute Heart Failure Diagnosis in ED
Posted onMany ER residents have found themselves justifying an admission of an acute or decompensated heart failure patient to a skeptical admitting resident. For better or worse, the skepticism is not without reason; an initial ED admission diagnosis of AHF (acute heart failure) in ED is discordant from final discharge diagnosis in about one out […]