You’re working in the ICU overnight and are having difficulty obtaining a blood pressure for a patient that was just transferred to your facility for septic shock secondary to pneumonia. You make the decision to place an arterial line. You place the line sterilely using seldinger technique and connect it to the monitor. Your hard work paid off and you are rewarded with a waveform.
Read moreSubmitted by Courtney Martin, DO
A 61 yo F w/ PMH HTN, DM, CKD presents to the ED w 1 month of progressively worsening dyspnea, cough and fatigue.
Read moreSubmitted by Rebecca Fieles, MD
A healthy 30 yo male p/w cc of generalized weakness and pain for several hours. But generalized weakness and pain can be about 2 million things! you bemoan internally as you sign up for the patient. Hang on, what's this? Admitted previously for severe, unexplained hypokalemia? The plot has thickened....
Read moreSubmitted by Jacob Martin, MD
Over the last few weeks, we covered pediatric coughs, finishing with pediatric pneumonia. This week, we will continue along this trend and discuss community acquired pneumonia (CAP) in the adult population.
Read moreSubmitted by Kristen Adorno, MD
Less than 5 percent of patients hospitalized for acute asthma exacerbation will require mechanical ventilatory support. However, ventilator management in status asthmaticus is unique and the impact of increased airway resistance on ventilation strategies must be understood to avoid life-threatening complications like severe acidosis, barotrauma and hypotension.
Read moreSubmitted by Elizabeth Murphy, MD
More pediatric coughs! Here we review basics of pediatric pneumonia
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A 19 year old female presents to the ED with abnormal vaginal discharge for 5 days. She is sexually active with a new male partner and does not consistently use protection.
Read moreSubmitted by Kat Kaminski, MD