Author: Ryan Walsh, MD Editor: Nicole Anthony, MD THE CASE A 33-year-old woman with unspecified developmental delay is brought to the ED after her friend called EMS for a wellness check and for poor living conditions. There is no collateral information available and the friend (the patient’s only listed contact) Read more…
In order for us to survive, our cells must produce adenosine triphosphate (ATP) energy by undergoing glycolysis which breaks down glucose to pyruvate. Ideally, pyruvate gets shuttled into aerobic metabolism for oxidative phosphorylation because this is the most efficient and abundant way to produce 32 ATP molecules (1). In oxygen-deprived Read more…
You’re in the ED when an ESI 2 rolls up – an ill-appearing 75 year-old man who was brought in by EMS for nausea and vomiting x 3 days. The patient’s heart rate is 108, blood pressure is 136/82, and he is breathing 20 per minute. The triage nurse brings Read more…