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Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini

Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini Risk factors Age Smoke Lupus HIV Covid

Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini Suspect when: Severe pain, not always sudden Atraumatic pain Pain after arterial procedure Claudication

Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini Examination Atrial fibrillation? 5% of normal subjects do not have Buerger test —> dependant rubor

Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini Ask 3 questions

Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini Non-resolving cellulitis? Do the Buerger test!

Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini Chest pain + pale/pain limb? Think of Aortic dissection

Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini Sudden bilateral pain and legs paralysis = ischemic cauda equina

Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini Sudden leg leg pain? Don’ t forget the artery

Acute Limb Ischemia via David Carr at #EUSEM22 EUSEM Roberto Cosentini Summary of a fantastic talk: Elderly leg pain is tricky Red leg?—> do the Buerger test Ask 3 key questions (rest pain, light touch, motor abn) Leg pain + 1 Heparine is the way to go

Chest pain Cardiology Guidelines for EM via Rick Body at #EUSEM22 EUSEM Use Risk scores to allow to use a higher troponin threshold

Chest pain Cardiology Guidelines for EM via Rick Body at #EUSEM22 EUSEM

Chest pain Cardiology Guidelines for EM via Rick Body at #EUSEM22 EUSEM CTCA in the ED doesn’t make the difference

Chest pain Cardiology Guidelines for EM via Rick Body at #EUSEM22 EUSEM

Chest pain Cardiology Guidelines for EM via Rick Body at #EUSEM22 EUSEM POC HS-Troponin is very promising , awaiting clinical/cost effectiveness

Chest pain Cardiology Guidelines for EM via Rick Body at #EUSEM22 EUSEM Machine learning is helpful

Chest pain Cardiology Guidelines for EM via Rick Body at #EUSEM22 EUSEM

“In your absence, your work place will not fall apart” Nicole Battaglioli, MD, MHPE Thanks #Eusem2022

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