Good talk .Vibrant . Question : the patient thrown onto the fence with a Puncture wound after Time that is serial measurements dropped his blood pressure when sitting up and standing to go to toilet . Ok lying down . But when Orthostatic there was the drop . So Change in blood pressure drop on Standing from baseline May be of value especially if there is a history of a bleed . I have had two cases of orthostatis and then finding bleeds from stomach . There was slight dizziness but a greater than 30% drop in blood pressure lying vs standing .
Check the research for feeling a radial, saw another lecture discrediting the radial = 90 systolic. Research found too much variation and is unreliable when a central bp is compared
It’s people like her that inspire me to learn and be a better clinician.
She's a genius, she's my idol
From first sentence I subscribed before completing listen anymore. I think you are a real E doctor
Really bless to have these tips real refresher lectures
Good talk .Vibrant .
Question : the patient thrown onto the fence with a Puncture wound after Time that is serial measurements dropped his blood pressure when sitting up and standing to go to
toilet .
Ok lying down .
But when Orthostatic there was the drop .
So Change in blood pressure drop on Standing from baseline May be of value especially if there is a history of a bleed .
I have had two cases of orthostatis and then finding bleeds from stomach .
There was slight dizziness but a greater than
30% drop in blood pressure lying vs standing .
Don't know her but so presentable and talkative
Great conference
Loving the talks
Check the research for feeling a radial, saw another lecture discrediting the radial = 90 systolic. Research found too much variation and is unreliable when a central bp is compared
Personal experience; I have received multiple patients in ED with thyroid storm and a rectal temperature >39 C.
...without any other source
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