Stephanie Wilsey, MD

Advanced Practice: Zebras in the ED

24 y/o F visiting from Guatemala with no medical history presented to the ER after a syncopal event from standing during which she fall backwards hitting her head on a hard surface. Patient was witnessed to be shaking while on the ground per family member. She continued to feel dizzy while in the ED. Her lab work was normal and a head CT was performed which showed the following:

 

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Direct Measurement of Compartment Pressure Using a Stryker Device

Acute compartment syndrome is a surgical emergency.  Measurements of compartment pressures are an important adjunct to making the diagnosis. Check out this post for a video demonstration on how to operate the Stryker Device

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Advanced Practice: Supportive Management of Critical Illness in Pregnancy

The nurse calls you to the room of a 34 year old crashing patient....and she happens to be pregnant.  Here are the pearls for resuscitation and management of the critically ill pregnant patient. 

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