Stephanie Wilsey, MD
Encephalitis is defined as inflammation of the brain parenchyma, frequently caused by viruses. Autoimmune processes can also cause encephalitis: here are some pearls on the often-forgotten Anti-NDMA receptor encephalitis.
As ER physicians, we are greatly limited in what we can do for patients with submassive to massive hemoptysis.
- Our job is to manage the airway (prevent asphyxiation), reverse coagulopathies and provide supportive care
- The definitive therapy is an urgent bronchoscopy with ENT or pulmonology
But what if there was more we could do during the bridging period waiting the specialist on call? Enter tranexamic acid!
A 28 year old female presents with right eye pain. She wears contact lenses and reports falling asleep with them in for the past few days. On fluroscein examination, you note a lesion that does not look like a typical abrasion. You wonder if this could be a corneal ulcer and what the appropriate treatment may be?
Whereas the dosing of sedative medications is usually unaffected, the chief concern is whether there should be changes for neuromuscular blockade – will your patient with myasthenia gravis require a higher or lower dose of your selected paralytic?