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 the initial case and apply what was learned in conference Read more…
It’s four o’ clock on a gentle Sunday afternoon. You stir the dregs of your Turkish coffee, secretly hoping for an exciting patient to fill the last three hours of you Critical Care & Trauma shift. As you set your mug on top of the “No eating or drinking!” sign, Read more…
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 based on physical exam and ECG, the treatment for these Read more…
A 67-year-old man with history of COPD, HIV (CD4 50), peripheral vascular disease, DVT, and chronic renal failure presented to the ED with AMS and dyspnea after missing one dialysis session due to a transportation issue. His home attendant found him at home confused and called EMS. She reported that there was no Read more…