Category: EM-Critical Care

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…

Valproic Acid Toxicity

The Case 50-year-old woman is brought in by EMS after intentional ingestion of her 500 mg extended release valproate in a suicide attempt approximately 40 minutes prior to arrival. She had recently filled her valproate prescription with 80 tablets and…

Thyroid Storm

Case: A 48-year-old man with no PMH presents via EMS with dyspnea and diarrhea worsening over 2-3 weeks. He has attempted to self-treat the diarrhea with loperamide. He also reports generalized weakness, swelling in both his legs, and palpitations.  …

Aortic Dissection

Thoracic Aortic Dissection A difficult to diagnose, uncommon, and potentially fatal condition: Emergency Medicine at its finest!   Let’s talk about a patient we think see every day in the ED. A man comes in complaining of chest pain with elevated…

Acute Cardiogenic Pulmonary Edema

They were fine yesterday, now they’re drowning!   “Flash” (acute) pulmonary edema is a common critical condition in the emergency department, and it can have multiple precipitating factors and etiologies. After evaluating for acute myocardial infarction, tachydysrhythmias, and valvular pathologies…

Extracorporeal Membrane Oxygenation

Case A 35 year-old female with no PMH is brought in by her mother for acting strangely. Mother notes the patient has had two days of cough and cold-like symptoms with nausea today. She slept all day and upon waking,…