In adults with severe asymptomatic hypertension (>180/>120), blood pressure should be reduced over a period of hours to days, to avoid complications like cerebral or myocardial ischemia. In general, MAP should not be lowered by more than 25% over the first several hours. #CincyAI

A classic finding for PE on EKG is a deep S wave in lead I, Q wave in III, and inverted T wave in III. However this pattern is only found in about 20% of patients with PE and is neither sensitive nor specific. The most common abnormality seen is sinus tachycardia. #CincyAI

The onset of BZD withdrawal among chronic users can vary according to the half-life of the BZD involved. Symptoms may appear as early as 24 hrs or delayed up to 3 wks. Withdrawal sx’s are treated with a long acting BZD, which is gradually tapered over a period of months. #CincyAI

Check out this boss UC MICU team. Thank you all for your hard work! #UCthelove #UCgratitude

The qSOFA score is a good tool to use in the ED to aid in determining outcome for septic patients. A positive score is at least 2/3 of the following: SBP < or = 100, RR > or = 22, GCS < 15. #CincyAI

Broadly speaking, the most essential components for treatment of sepsis include: broad spectrum antibiotics, IV Lactated Ringers infusion at 30mL/kg, and vasopressors for persistent hypotension refractory to fluid resuscitation. #CincyAI

Many patients who achieve ROSC after cardiac arrest suffer from anoxic brain injuries. Initiation of targeted temperature management (TTM) (cooling to 32-36C) may lead to improved functional recovery at hospital discharge. #CincyAI

Remember naloxone is a direct opioid receptor antagonist and may precipitate acute opioid withdrawal in chronic users, causing agitation and combativeness. Ideal dosages reverse respiratory depression without causing full withdrawal. #CincyAI

This is a special community! The stethoscoop, revived by Dr Michael Hellman (Elizabeth Hellmann get him on Twitter!), is a weekly treasure of gratitude. ❤️ #UCtheLove #UCGratitude

I’m looking forward to seeing what Dabo answer is when they ask him if he still think Ohio State Football is the 11th best team in the country.