Tag: Critical Care

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…

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…

Save of the Month!

This month’s excellent save goes to… Dr. Steven Greenstein! Dr. Greenstein was working during a particularly busy shift in the Critical Care / Trauma area when EMS brought in a patient with a history of prostate cancer and a chief…

EM-Critical Care: 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…

EM-Critical Care: 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…

Bored and Bleeding (DIC)

It is another long Saturday night in the emergency department and you are entrenched in the general chaos of discordant sounds, noxious smells, and inconceivable sights. You are notified by the nurse of a disheveled regular of your ED who…