35 year-old male is brought in by family after intentional overdose of unknown substance. He’s unresponsive and has the following EKG. What's the diagnosis and how should it be managed?
54 year-old male with a known peanut allergy presents with anaphylaxis after accidental peanut ingestion....find out what happens next!
These are the need-to-know EKG findings found in tricyclic antidepressant (TCA) toxicity.
The tape measure is a tool we should all consider adding to our tool belts or airway carts. Here’s why!
How to avoid intubation in a Sympathetic Crashing Acute Pulmonary Edema (S.C.A.P.E.) patient
Can cheap, safe infusions of vitamins really succeed where so many hundreds of novel therapies have failed? The recent article in Chest by Dr. Paul Merik has taken the critical care world by storm, with reported mortality rates of 8.5% in patients treated with a simple vitamin C/thiamine cocktail (with none of the deaths directly attributable to sepsis). The skepticism and push-back have been nearly unprecedented, especially on #FOAMed. Whether you're a skeptic or an early adopter, you need to understand the basis for the debate by checking out this high-yield summary.
This post is not intended to be a comprehensive review of skull fracture types and management, but rather a discussion of two subtypes of skull fracture – open and depressed fractures. I chose this topic because it’s something I saw frequently during my recent elective working in an emergency department in Kumasi, Ghana. In the United States at trauma centers these patients are frequently managed immediately by neurosurgery; however, with few consultants available, I was able to be more involved in the prolonged care of these patients. If faced with these types of severe head/skull injuries in a community hospital, it is important to feel comfortable with the initial management.
Lung Protective Ventilation Initiated in the ED (LOV-ED Trial)
Click here to learn more about malignant ischemic strokes.
Use a tidal volume of 6-8 cc / kg (ideal body weight) when ventilating your patient...even when they are obese
