#EMConf: CAT

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?

Submitted by Jon Skilton, MD

What's the Diagnosis? By Dr. Loran Hatch

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.

Submitted by Loran Hatch, DO

Interesting case of Epistaxis

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

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

Submitted by Sydney Tabaac, MD

Angioedema Basics

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

Quick review of mechanisms of diease and available treatments for angioedema

Submitted by Kristen Adorno, MD

Ramping vs. Sniffing

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?

Submitted by Lars-Kristofer Peterson, MD

#EMConf: CAT

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)?

Submitted by Alyse Volino, MD

What's the diagnosis? By Dr. Angela Ugorets

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

A 45 yo male presents after syncope

Submitted by Angela Ugorets, MD

Brain Bleed Basics

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.

Submitted by Courtney Martin, DO

Board Review: Lets get some air

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

Submitted by Kat Kaminski, MD

ECMO in pregnancy

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.

Submitted by Emily Damuth, MD

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