Fri, 05/01/2020 - 3:00am

EMS calls ahead for a patient in respiratory extremis.  They are just a few minutes out and your team is calmly putting the resuscitation space together and preparing for intubation.  A question catches you off guard - do you want this patient in a ramped or sniffing position?

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Thu, 04/30/2020 - 5:44am

 

Question: Does prophylactic antibiotic therapy decrease incidence of pneumonia in out of hospital cardiac arrest (OHCA) patients receiving targeted temperature management (TTM)?

 

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Wed, 04/29/2020 - 12:10am

 

A 45 yo male presents after syncope

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Mon, 04/27/2020 - 5:00am

Yes we learned most this as a 4th year med student... but sometimes reviewing the basics can remind us of some important details we've forgotten. That's what back-to-basics is for! Here we review different types of intracranial hemorrhages.

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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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