Month: October 2017

Ibuprofen for Acute Mountain Sickness?

The Background At elevation, the body needs to adapt to the decreased partial pressure of oxygen. In the short term adaptations include tachycardia, hypertension and hyperventilation. These physiologic alterations are usually enough to prevent serious physiological distress. However, if ascent…

Peri-intubation Arrest

This EM-Critical Care Medicine case presentation focused on a very complex resuscitation with multiple facets. The case is notable because it includes most, if not all, of the factors we should consider when worrying about a peri-intubation arrest. Let’s recap…

Case of the Month – October 2017

  Get your thinking caps ready folks, for it’s time for the newest edition of Case of the Month.   The patient is a 28-year-old man with a history of SLE complicated by lupus nephritis, who presents with pressure-like mid-back…

Cracking Skulls

    Scenario: You are evaluating a 58-year-old male with hypertension and cirrhosis who presents with a sharp, right-sided, severe, non-radiating, constant headache that started suddenly two hours ago while he was walking to get something to eat. Shortly after…