Thu, 05/07/2020 - 5:37am

Question: Given the recent studies showing the advantages of early norepinephrine in sepsis, should we titrate more aggressively to a higher MAP vs the standard 65-70?

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Wed, 05/06/2020 - 7:00am

A 75 yo F w/ a history of HTN, smoking presents to the ED w/ intermittent SOB, DOE and L shoulder pain x 4 weeks.

 

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Tue, 05/05/2020 - 11:29am

Elderly male presents to your ED with epistaxis for hours ... 

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Mon, 05/04/2020 - 5:00am

Quick review of mechanisms of diease and available treatments for angioedema

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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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