Like all medical therapies, we have learned that treatment with oxygen comes at a cost. The medical literature is replete with the detriments of hyperoxia in the management of myocardial infarction, acute stroke, cardiac arrest and septic shock. What is the optimal oxygenation target for critically ill patients requiring mechanical ventilation? Three landmark trials can guide us: Oxygen-ICU, ICU-ROX and LOCO2. The end to the oxygenation fairytale remains to be told, but perhaps Goldilocks is “just right.”
Read moreSubmitted by Emily Damuth, MD
A 40 year old female presents with right knee pain after she was struck by a truck’s tailgate.
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30 yo F with PMH generalized anxiety disorder, presents to the ED after being in house fire. Unknown amount of time spent in burning house.
Read moreSubmitted by Alyse Volino, MD
Dr. Manganiello covers the pearls regarding ovarian torsion.
Read moreSubmitted by Lynn Manganiello, DO
A 58 year old male arrives to the ED in cardiac arrest. CPR is in progress and you are concerned about the amount of time needed prior to defibrillation to stop compressions, ensure all personnel are not touching the patient or the bed, delivering the shock, and then restarting CPR. It occurs to you that the pads could deliver a shock while CPR is in progress, but wonder about the safety and efficacy.
Read moreSubmitted by Lars-Kristofer Peterson, MD
A 21 yo female presents with epigastric pain
Read moreSubmitted by Katie Selman, MD
"Put in a chest tube." Great. But which type of tube? Dr. Adorno's got you covered.
Read moreSubmitted by Kristen Adorno, MD