Critical Care

APRV to the rescue

One out of ten critically ill patients in the intensive care unit (ICU) will develop acute respiratory distress syndrome (ARDS). In addition to low tidal volume ventilation, prone positioning and neuromuscular blockade, adjusting the mechanical ventilation mode may be another strategy to implement early in a patient’s clinical course when faced with ARDS complicated by refractory hypoxemia. 

Category (Day): 

Critical Cases - Saddle Pulmonary Embolism!

A 68 year old male presents with ALS for near syncope at home. ALS reports they found the patient diaphoretic, complaining of generalized weakness and inability to stand which began acutely an hour ago. His blood pressure on scene was 60/palp, which improved to 100 systolic with a 500 ml IVF bolus. "Shock eh?" you think as you approach the room. "Better bring the ultrasound...."

Category (Day): 

Critical Cases - Alcohol Withdrawal!

A 53 year old reported daily ETOH use presents via EMS for seizure at home. As you approach the stretcher you wrack your brain for the right treatment algorithm, realizing that this patient may die without the correct medications....

Category (Day): 

Pages