Ep 163 Acute Heart Failure ED Management – PoCUS, Oxygenation Strategies, Medication Strategies, PPV HAVoC and SCAPE

Ep 163 Acute Heart Failure ED Management – PoCUS, Oxygenation Strategies, Medication Strategies, PPV HAVoC and SCAPE

Author: Dr. Anton Helman December 15, 2021 Duration: 1:05:48
In this Part 1 of our two-part series on acute heart failure, Anton is joined by Dr. Tarlan Hedayati and Dr. Bourke Tillman to answer such questions as: how does PoCUS compare with clinical assessment and CXR in diagnostic accuracy for acute heart failure? How do we best integrate PoCUS in the our assessment and management of the patient with acute heart failure? What is PPV HAVoC and how can we use it to optimize acute heart failure management goals? What should be our specific goals of management in the acute heart failure depending on the underlying cause? How does high flow nasal cannula (HFNC) compare to non-invasive positive pressure ventilation (NIPPV) in the management of acute heart failure? How should we interpret the C3PO trial in the context of the world's literature on NIPPV in acute heart failure? How should we dose nitroglycerin to maximize its effects without dumping the blood pressure in patients with SCAPE and those without SCAPE? How should we best time and dose furosemide in the acute heart failure patient with renal insufficiency? Is there any role for morphine or ACEi in the ED management of acute heart failure? What are best anxiolytic medication choices in acute heart failure? Is there any role for second line diuretics in the management of acute heart failure in the ED? and many more...

Hosted by Canadian emergency physician Dr. Anton Helman, Emergency Medicine Cases is a trusted audio resource that feels like having a seasoned colleague by your side during a complex shift. Each episode dives deep into the nuanced, high-stakes decisions that define emergency care, moving beyond textbook summaries to explore the real-world application of the latest evidence and clinical wisdom. You’ll hear detailed discussions with leading specialists, breaking down challenging presentations, diagnostic pitfalls, and cutting-edge treatments. This podcast is designed for the practicing clinician who wants to refine their approach, whether they’re managing a critical trauma, an ambiguous abdominal pain, or a puzzling pediatric fever. The conversations are thorough and grounded, offering practical takeaways you can use immediately. For those who want to engage further, extensive show notes, quizzes, and supplementary videos are available online to solidify your learning. Tune in to stay sharp, confident, and current in the fast-paced world of emergency medicine.
Author: Language: en-ca Episodes: 100

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