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ACS risk scoring systems for the ACEM Exam

12/19/2019

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The ACE THE ACEM BOOTCAMP covered the key assessment systems for low and intermediate chest pain in the ED

WE reviewed the MJA 2016 ACS guidelines and looked at the
TIMI VS. EDACS VS HEART VS GRACE
scoring in ED
and looked at current pathways for accelerated chest pain pathways.
Key knowledge for the exam and on floor !!!
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Atrial infarction and the ACEM Exam !!

12/19/2019

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Another tough discriminating ECG for the Fellowship exam. The ACE THE ACEM BOOTCAMP covered atrial infarctions in the ED with the Lew Criteria as key to diagnosis:
PTa elevation > 0.5 mm in II, III OR AVF ( right side) or V4,5 ( left atrial)
With reciprocal PTa depression in precordial leads.
Also note the increased mortality associated with atrial rupture !!!
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D1 STEMI lesions - diagonal 1 LAD STEMI for the ACEM exam

12/19/2019

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The ACE the ACEM BOOTCAMP covered it’s first cardiology session towards the May 2020 exam. D1 lesions are tricky to diagnose - STEMI in AVL and V2 with depression in III AND AVF. Look out for this tricky ecg in the exam and also on floor !
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ACE the ACEM May 2020 webinar introduction - physiologically difficult airways - the HHAARRMMS mnemonic. 

12/19/2019

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Airway assessment and management

We started the new webinar series in prep for May 2020 with some key structured thoughts on airway

The anatomically difficult airway
Think 💭:
MOAN - bvm ppv possible?
RODS - LMA / extraglottic device possible ?
LEMON- Laryngoscopy possible?
SMART - Cricothyroidotomy possible ?

The PHYSIOLOGICALLY DIFFICULT AIRWAY
think 🤔:
HHARRMMS
hypoxia
Hypotension
Acidosis/ alkalosis
Ricp
Resp state
Medical conditions
Medications
Sepsis

HOW WOULD YOU IPTOMISE YOUR RSI IF THE ABOVE WERE PRESENT ?


Have your devices ready to roll:
Standard : BVM BOUGIE CMAC ETT LMA

VIDEOLARYNGOSCOPY OPTIONS
INTUBATING LMA / stylet
Fiber optic intubator

Know the following algorithms:

CRASH AIRWAY
FAILED INTUBATION
FAILED AIRWAY
DIFFICULT AIRWAY
‘AWAKE’ oral intubation

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Ben Lepke
Email- ben@1medical.com.au
Mobile- 0403585665
www.1medical.com.au

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ACE THE ACEM PTY (Ltd)
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Email  admin@acemexam.org
​Useful EM links
emergencypedia.com
litfl.com
www.ilcor.org/home/​​
www.tpched.org
​www.gcs16.com/fellowship-examination.html
emdojo.com​
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