Thanks to Dr. LoCascio for today’s Morning Report! Out-of-Hospital Cardiac Arrest AMA Council on Ethical and Judicial Affairs states that CPR may be withheld, even if requested, “when efforts to resuscitate a patient are judged by the treating physician to be futile.” ACEP “physicians are under no ethical Read more…
Today’s Morning Report is courtesy of Dr. DiMare! Color Change Capnography How does it work? pH based REVERSIBLY reacts with expired CO2 purple with ETCO2 < 3mmHg yellow with ETCO2> 15mmHg How good is it? – nearly 100% specific (97-100% different studies, different devices) WHEN USED PROPERLY Read more…
We like to think we’re always practicing evidence-based medicine. So we inform our consultants about likelihood ratios and ask how can they be “so sure.” We try to be very aware of the sensitivities and specificities of the tests we use so that their results can be qualified. But sometimes, Read more…
Welcome to the first edition of the California version of Staten Island Corner. It’ll be similar to the old Staten Island Corner but with more smiles and vegetables. I think we’ve all been in the following situation: You’re in CCT and in walks an older gentleman with a distended Read more…
Here’s Dr. Jegede with today’s Morning Report! Therapeutic Hypothermia It’s benefits are compared to early defibrillation for improving survival in patients post cardiac arrest NNT to improve survival is 7. NNT to improve neurologic outcome is 5 Should be started as early as possible. According to 1 study, there Read more…
Today’s Morning Report is courtesy of Dr. Basile! Delayed Sequence Intubation Why do this? – Standard preoxygenation with NRB mask (65-80% FiO2) for 3 min or 8 vital capacity breaths has been shown to provide a buffer of 8 min in a healthy, non-obese adult patient before desats to Read more…