An in-depth analysis of current topics in Emergency Medicine and Critical Care Medicine typically based upon our regular EM-CCM conference.
Our excellent Critical Care Medicine Mini-Fellowship met last week for our monthly meeting. We reviewed three articles on cardiac arrest in the pregnant patient which I have summarized for you below: 1. Management of Cardiac Arrest in Pregnancy: A Systematic Review 2. Management of Cardiac Arrest in Pregnancy 3. Resuscitation of Read more…
Presented by Dr. Nataisia Terry Summary by Dr. Kaycie Corburn The Case: 72 yo M PMH HTN and GERD presents to the ED with 1d h/o difficulty urinating and back pain. Basic labs showed thrombocytopenia. Non contrast CT showed bony sclerosis through out the vertebral bodies and splenomegaly. EKG showed Read more…
Hi Readers, We have yet another new post this year for me to introduce. Dr. Sadia Hussain (of the Trauma Drama series) has teamed up with the wonderful Dr. Ashika Jain to create a Critical Care Mini-Fellowship. We thought it would be useful to your education to write-up a concise Read more…
EM-CCM Conference on 6/18/14 Presented by Dr. Bonnie Brown Special Thanks to Dr. Gillette for his insightful comments and attendance. The Case 41 yo F pmhx Sickle Cell Disease presents 15 hours after onset of right face numbness, right arm numbness and weakness, and difficulty speaking. Stroke work-up performed including Read more…
EMS notification. 115 year old female in cardiac arrest. ACLS in progress. Estimated time of arrival: 5 minutes. Your stomach groans. Upon EMS arrival, you learn that she comes from a nursing facility and has end-stage dementia; she is bed-bound, contracted and non-verbal. Maybe she’s got a PEG tube or Read more…
EM-CCM CONFERENCE SUMMARY PRESENTED BY DR. PIA DANIEL SUMMARY BY DR. FRANCIS YOUN CASE: Elderly, bedbound, nonverbal female with past history of dementia, hypothyroidism, sigmoid volvulus s/p sigmoidectomy and colostomy sent from NH for altered mental status, fever, and concern for bowel obstruction. VS: T 103, BP 99/60, Read more…
EM-CCM Conference: February 2014 (Sorry posting this a little late!) Presented by Dr. Freedman Summary by Dr. Youn CASE: 84M with CAD (recent NSTEMI) on ASA and Clopidogrel, CHF, HTN, DM p/w 4 episodes of BRBPR with dizziness and SOB. Pt was hypotensive, tachycardic with pale conjunctiva and gross red Read more…
EM-CCM Conference: January 2014 Presented by Dr. LoCascio Summary by Dr. Grock The Case: 67 yo F pmhx ESRD on HD, HTN with slurred speech and Left sided weakness starting at 19:30. H&P and work-up significant for BP 208/95, R gaze preference, L facial droop, decreased strength to LUE/LLE. Read more…
Quick case: It’s 3am. A 55yM, with a pmhx of chubbiness, DM, HTN is brought in by EMS after being found down. He is pulse-less, with an initial rhythm of ventricular fibrillation. He is shocked appropriately and exquisite ACLS is performed. He regains pulses 20 minutes after EMS arrival…Now Read more…
The debate on the treatment of circulatory shock is over(-ish?). Ever since the NEJM put out its big RCT on the treatment of all-comer shock[i], we know that norepinephrine is the vasopressor of choice. Septic, cardiogenic….doesn’t matter. Norepinephrine is superior to dopamine. Bummer, right? Choice of vasoactive agent was so Read more…