Joseph Cesarine, MD
Case: A 42 year old female patient with a past medical history significant for diabetes, obesity and hypertension presents to the ED with chief complaint of 4 days of abdominal pain.
Extracorpreal membrane oxygenation is a temporizing mechanical support to heart or lung function in the setting of cardiopulmonary failure. In the setting of severe respiratory failure, patients that may benefit from and/or have an indication for ECMO are described in the Extracorporeal Life Support Organization Respiratory Failure Supplement to ESLO General Guideline, December 2013:
25-35% of patients with chronic liver disease with experience variceal bleeding. This post is designed to provide high-yield pearls in the evaluation and acute management of variceal bleeding.
A high-yield review of the past week on EMDaily
In Week 8 of this NFL season, Houston Texans offensive tackle Derek Newton suffered bilateral patella tendons rupture against the Denver Broncos. Newton's injury was particularly rare not only because of it's bilateral nature but also because it occured without direct trauma. This is a season-ending injury for Newton. On the field, Newton received immediate immobilization and eventually underwent surgery to repair the tendons.
Penetrating neck trauma is a serious cause of morbidity and mortality in the acutely injured patient. While a "no-zone" management approach to penetrating neck injuries is replacing the traditional three zone approach, knowledge of neck zone anatomy is crucial to anticipating and diagnosing pathology inherent to each zone. Zone I is the most caudal and includes the base of the neck and thoracic inlet.
In Week 3 of this NFL season, Dallas Cowboys wide receiver Dez Bryant suffered a non-displaced tibial plateau fracture against the Chicago Bears. In the news, the injury was labeled a "hairline fracture of the knee." The injury resulted from Bryant landing awkwardly on his leg while being tackled near the sideline. Bryant is expected to miss 4-6 weeks.