It’s 15 minutes from change of shift, and you are recovering from a busy overnight in the critical care area of the ED. Suddenly, an intubated patient rolls in the door without prior notification, and EMS is performing chest compressions. “Intubated… three rounds of epinephrine and one round of bicarb Read more…
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…
We had three wonderful answers to last month’s COTM, but Dr. Segarra’s comprehensive response takes the cake. For a complete review of the case, please click here. Just to recap: 50-year-old woman with DM2, HTN, GERD, recently completed 6 months of TB therapy, presented with abdominal pain, N/V, Read more…
After a two-month hiatus, Case of the Month returns! Get your thinking caps on for July’s Edition… The patient is a 50-year-old woman with a previous history of type II diabetes, and recently completed a 6-month course of treatment for tuberculosis, presenting with 5-6 days of worsening lower Read more…
Setting the Scene Your patient is a 21 year-old female with a history of type 1 diabetes mellitus who was brought to the ED by her boyfriend for diminished responsiveness. In a stupor, she is unable to give any history. Her vitals are: BP 102/66, pulse 120, respiratory rate 24, Read more…
By Dr. C. Sterling M.D. Pathophysiology of Right Ventricular Failure The most common cause of pulmonary hypertension in the U.S. is left-sided heart failure, but many cases of pulmonary hypertension remain undocumented. Pulmonary arterial hypertension is a specific category of pulmonary hypertension and is a relatively rare disease. In the ED, we Read more…
This month we discussed a great review on the resuscitation of avalanche victims given by Dr. Rolston-Cregler. If you want to read that paper in its entirety, please click this link: AVALANCHE RESUS GUIDELINES Louis was also kind enough to put together a summary of that paper and it can be found Read more…
EMS brings in a trauma notification: 40 year old man was so absorbed reading his book (51 Shades of Grey’s Anatomy) while crossing the street that he didn’t see the truck that struck him. He is moaning in pain and lethargic as he is rolled in. VS: BP 86/64, HR 118, RR Read more…
Here’s Dr. Nordstrom presenting today’s Morning Report! Case: 47 y.o male with history of EtOH abuse, presents with vomiting. VS: 97/52, HR 123 RR 24, Os Sat 98%. On exam the patient has a mildly distended abdomen with multiple dilated veins and spider angiomas. During evalutation the patient vomits Read more…
Here’s a Friday the 13th edition of Morning Report presented by Dr. Waldman! The Case: 42 yo F hx of asthma, heavy smoker p/w 3 days of wheezing and SOB. Pt had been admitted for asthma in the past but never intubated. Albuterol and ipratropium were not helping at Read more…