EM-Critical Care Archives

Cardiovascular EM-Critical Care Hematology/Oncology Renal/Genitourinary Wilderness Medicine

So Take Off All Yo’ Clothes: Exertional Heat Stroke Part 2

Author: Esteban DavilaPeer Editor: Alec FeuerbachIllustrations: Vincent Xiao This is a continuation of Part 1.Key Initial StepsABCs and Supportive CareLike any other resuscitation, attention should be primarily towards assessing the ABCs. Patients with impaired awareness, airway secretions, aspiration, worsening respiratory distress, or status epilepticus may require intubation.[1] However, attempts to aggressively Read more…

By estdavila17, 1 monthMarch 13, 2024 ago

Cardiovascular EM-Critical Care Evidence-Based Medicine Hematology/Oncology Renal/Genitourinary Wilderness Medicine

Its Getting Hot in Here: Exertional Heat Stroke – Part 1

Author: Esteban Davila Peer Editor: Alec Feuerbach The Case You’re having a relatively quiet morning when you hear EMS bringing in a patient. The patient is an 18-year-old male who collapsed on the route of a half marathon. You reflect that this day is particularly warm and humid. EMS reports Read more…

By estdavila17, 2 monthsFebruary 27, 2024 ago

Cardiovascular EM-Critical Care Rhythm Nation - ECG

Hypertrophic Cardiomyopathy Part 2: Workup and Treatment

Co-authors: Taylor Murtaugh MD, Esteban Davila MD We’re back after a short hiatus for part 2. You can find part 1 here. The Case Continued History and Physical When suspecting hypertrophic cardiomyopathy (HCM), the history should focus on overall fitness as well as adverse responses to exertion such as chest pain, Read more…

By estdavila17, 2 monthsFebruary 13, 2024 ago

Cardiovascular EM-Critical Care Rhythm Nation - ECG

Hypertrophic Cardiomyopathy Part 1: Chest Pain

Co-authors: Taylor Murtaugh MD, Esteban Davila MDThe CaseA 59-year-old male with a past medical history of hypertension, hyperlipidemia, and gastroesophageal reflux disease was brought in by EMS to the ED with severe chest pain. EMS administered 324 mg of aspirin. The patient endorsed left-sided chest pain while ambulating with associated Read more…

By estdavila17, 5 monthsDecember 5, 2023 ago

Cardiovascular EM-Critical Care Pharmacology Rhythm Nation - ECG

BRASH Part 2: A BRASH with Death

Co-Authors: Esteban Davila, Hemil Chauhan This is part 2 of a 2-part series focusing on BRASH. Part 1 can be found here. Patient Presentation A 70-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (baseline creatinine 2-3 mg/dL) is brought in by EMS after being Read more…

By estdavila17, 6 monthsOctober 30, 2023 ago

Cardiovascular EM-Critical Care

Shocking(ly) Not Enough: Electrical Storm and Refractory VT/VF

Author: Calvin Tan, MD Based on EM-CCM lecture presented by Taylor Douglas, MD Case presentation: A 55-year-old woman with past medical history of HTN and IDDM is brought in by EMS with her husband reporting that she “keeps passing out”. The patient is noted to have an episode of Read more…

By calvintan, 3 yearsSeptember 2, 2021 ago

Cardiovascular EM-Critical Care Ultrasound and Radiology

Malperfusion Syndromes of Aortic Dissection

Author: Nicole Anthony, MD Aortic dissections are difficult to diagnose in a timely manner for a variety of reasons, chief among those being the variability in presenting symptoms from one patient to the next: “I have chest pain, and my right side doesn’t work” or “I have abdominal cramping and Read more…

By nicanthony, 3 yearsJuly 22, 2021 ago

Do antibiotics have a role in cardiac arrest?

EM-Critical Care Infectious Disease

What is the role of antibiotics post-cardiac arrest?

“Sepsis Code to Resus 1.” Your charge nurse comes out of her office, “Doc, you know that’s the cardiac arrest patient right? They’re not febrile. Why are we ordering antibiotics?” Despite all the hoopla and controversy surrounding mandated CMS guidelines surrounding the Surviving Sepsis Campaign, there’s limited evidence that antibiotics Read more…

By Robby, 3 yearsJuly 8, 2021 ago

EM-Critical Care Neurology

Must Be Blood on the Brain

Author: Molly Piccione, DO The Case: An older woman with PMH of ESRD is found unresponsive by her home health aide. On arrival to the Emergency Department (ED), the patient’s BP is 173/111 mm Hg, HR 109/min, RR 30/min, and SpO2 92% on room air. She is responsive only Read more…

By mollypiccione, 3 yearsJune 3, 2021 ago

Cardiovascular EM-Critical Care

Critical Care Mini-Fellowship: Aortic Dissection

Author: Robby Allen Edited by: Taylor Douglas and Eden Kim Case A 56-year-old male with PMH of hypertension, CHF, HIV, and obesity presents to the ED with a chief complaint of chest pain. He states the chest pain awoke him from sleep, radiates to the back and jaw, and began Read more…

By Robby, 3 yearsDecember 22, 2020 ago

EM-Critical Care

An in-depth analysis of current topics in Emergency Medicine and Critical Care Medicine typically based upon our regular EM-CCM conference.

Cardiovascular EM-Critical Care Hematology/Oncology Renal/Genitourinary Wilderness Medicine

So Take Off All Yo’ Clothes: Exertional Heat Stroke Part 2

Cardiovascular EM-Critical Care Evidence-Based Medicine Hematology/Oncology Renal/Genitourinary Wilderness Medicine

Its Getting Hot in Here: Exertional Heat Stroke – Part 1

Cardiovascular EM-Critical Care Rhythm Nation - ECG

Hypertrophic Cardiomyopathy Part 2: Workup and Treatment

Cardiovascular EM-Critical Care Rhythm Nation - ECG

Hypertrophic Cardiomyopathy Part 1: Chest Pain

Cardiovascular EM-Critical Care Pharmacology Rhythm Nation - ECG

BRASH Part 2: A BRASH with Death

Cardiovascular EM-Critical Care

Shocking(ly) Not Enough: Electrical Storm and Refractory VT/VF

Cardiovascular EM-Critical Care Ultrasound and Radiology

Malperfusion Syndromes of Aortic Dissection

EM-Critical Care Infectious Disease

What is the role of antibiotics post-cardiac arrest?

EM-Critical Care Neurology

Must Be Blood on the Brain

Cardiovascular EM-Critical Care

Critical Care Mini-Fellowship: Aortic Dissection

clinicalmonsterblog