Fri, 01/17/2020 - 4:00am

Lung-protective mechanical ventilation with low tidal volume and restricted plateau pressure improves survival in ARDS. However, the optimal approach to PEEP titration to minimize VILI is still debated. Should oxygenation, lung compliance, driving pressure or transpulmonary pressure guide adjustment of PEEP in ARDS?

Read more
Thu, 01/16/2020 - 5:00am

Clinical Question: Are benzodiazepines a more effective form of sedation in an acutely agitated patient in the Emergency Department compared to antipsychotics?

Read more
Wed, 01/15/2020 - 11:36am

A 76 yo female presents after a fall. 

Read more
Mon, 01/13/2020 - 5:00am

Here are 10 fast facts for managing lithium toxicity in the ED setting.

Read more
Sat, 01/11/2020 - 5:00am

 

Read more
Fri, 01/10/2020 - 1:30am

While your friends at home are shivering in the Camden, NJ winter, you are on an elective retrieval medicine rotation in New South Wales, Australia.  A 32 year old patient arrives in a rural emergency department obtunded. His friends state he was out hiking and may have used some cocaine as well. His initial vital signs are notable for hypotension and a core temperature of 41.5C (106.7F).  There are no fans available for evaporative cooling and no gel adhesive body temperature controlling devices (such as those used following cadiac arrest). The patient requires intubation which is done uneventfully, the staff asks what tools you might use to rapidly reduce the body temperature.

Read more
Thu, 01/09/2020 - 5:00am

Chief Resident Dr. Katie Selman breaks down the differential diagnosis for your vaginal bleeding patients

Read more
Wed, 01/08/2020 - 12:34pm

70 yo F presents to the ED with right arm pain.

Read more
Tue, 01/07/2020 - 5:00am
 
A 51 y.o male presents with complaints of left eyelid swelling and redness.  Whats the diagnosis?

 

Read more
Mon, 01/06/2020 - 5:00am

Postpartum hemorrhage is the leading cause of maternal death worldwide.  Here is a great review for management by the ED doc by Stacy Marshall, MD.

Read more

Pages