Sat, 04/25/2020 - 5:00am


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Fri, 04/24/2020 - 5:56am


A 36-year-old woman presented to urgent care with cough, dyspnea and hypoxemia. She was transported to the ED where she rapidly progressed to severe ARDS despite lung protective ventilation, paralysis and inhaled epoprostenol. Post-intubation, it was determined that she was pregnant with ultrasound revealing a fetus at 23 weeks, 6 days gestational age. She underwent cannulation for venovenous ECMO. What is the role of ECMO in the pregnant patient? A recently published analysis of the ELSO registry for peripartum patients supported with ECMO demonstrates a 70 percent survival rate. 

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Thu, 04/23/2020 - 5:52am

Notes from Dr. Filippone's ECG lecture ... Acute myocardial injury in COVID19


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Wed, 04/22/2020 - 12:41pm

A 2 year old F presents to the ED with her parents with concern that she may have ingested a coin.

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Tue, 04/21/2020 - 10:49am

A 61 yo male presents to the ED for the second time with complaints of back pain. While the overwhelming majority of cases of back pain are benign, there are a few "can't miss" causes which will result in paralysis if not diagnosed early. You ponder these diagnoses as you make your way to the patient's room...

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Mon, 04/20/2020 - 2:01am

My usual response to skin tears? These are as basic as you can get. But - when large, under tension, or with a poorly viable skin flap, they can be quite problematic. So let's go back to the basics of skin tears and discuss their management.

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Sat, 04/18/2020 - 5:00am
Fri, 04/17/2020 - 3:00am

You sign out to the overnight team at midnight and stay an hour or so completing a laceration repair and finishing your charts.  It's been a chaotic afternoon and evening and the patina of COVID-19 didn’t make things any better. After your shift (and appropriate decontamination) you pass your hospital’s new resiliency resource room.  You wonder, “What would be more relaxing right now? Doing some deliberative coloring, petting a dog, or just heading home?”

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Thu, 04/16/2020 - 5:25am

Cooper EM team discussesd “Hydroxychloroquine and azithromycin as a treatment of COVID-19: results of an open-label non-randomized clinical trial” by Gautret P, Lagier JC, Parola P, et al. 

Dr. Brittany Cesar and Dr. Angela Ugorets summarize the article ...


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Wed, 04/15/2020 - 8:00am

A 45 yo female presents with shortness of breath

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