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Weakness and Fatigue

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Jordan is back! EMJCCast’s favorite PGY1 (almost 2!) is here to lay down some knowledge with Kyle (MS4) and Arman (MS4) in this case of weakness and fatigue in a middle aged female. How would you approach this case? As always, we learn some important management strategies for a specific etiology of weakness & fatigue. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com

*****EPISODE SPOILERS BELOW*****

Here is the ACLS Algorithm for management of bradycardia
Liu, L. A., RN. (2019, December 19). ACLS bradycardia Algorithm. Retrieved March 15, 2021, from https://www.acls.net/acls-bradycardia-algorithm.htm

Here is the AHA’s article on management of symptomatic bradycardia
American Heart Association. (2005). Part 7.3: Management of symptomatic bradycardia and tachycardia. Circulation, 112(24 suppl).

EMCrit has a great brief chapter about bradycardia on the Internet Book of Critical Care here; Josh Farkas also covers why we should use epinephrine over atropine for initial management here

Here’s an article on non-occlusive MI & vasospastic angina
Beijk, M. A., Vlastra, W. V., Delewi, R., van de Hoef, T. P., Boekholdt, S. M., Sjauw, K. D., & Piek, J. J. (2019). Myocardial infarction with non-obstructive coronary arteries: a focus on vasospastic angina. Netherlands Heart Journal, 27(5), 237-245.

And a great approach to bradycardia in the ED from our favorite EM Clerkship

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong – if you notice this, please email us at emjccast@gmail.com.