Mon, 09/21/2020 - 5:24am

With several anticoagulants now on the market, one needs to be well versed in the various reversal options in the setting of lifethreatening bleed (or if supratherapeutic on coumadin).  Here's your quick review.

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Fri, 09/18/2020 - 3:00am

It’s a familiar call ahead to the ED - an adult patient who is febrile, hypotensive, with suspicion towards infection.  While setting up the room, the patient’s bedside nursing team asks if you’d like them to get saline or lactated Ringer’s (LR) ready for resuscitation.  You wonder if there’s any new evidence examining the use of saline versus balanced crystalloids in the emergency department.

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Thu, 09/17/2020 - 6:00am

Dr. Murphy discussed cyanide toxicity 

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Wed, 09/16/2020 - 11:00am

A 17 yo F with no PMHx presents to Urgent Care w/ L sided chest pain. Pain sharp, radiates to L upper back, has been intermittent x 1 month, worse x last 2-3 days. No exacerbating or relieving factors. She denies fever/chills, cough/URI sx, LE pain/edema. No prior hx of DVT, no OCPs.

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Tue, 09/15/2020 - 5:11am

An 87 yo male is brought in by EMS after a syncopal event while on the toilet, resulting in a fall and head injury. EMS reports a heart rate in the 30s en route. As your approach the resuscitation bay you begin to think about the causes of bradycardia and what your approach will be to stabilize this potentially very sick patient....

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Mon, 09/14/2020 - 5:15am

Hypoglycemia can be a lifethreatening emergency - here's your quick review of s/sx, causes and management.

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Sat, 09/12/2020 - 5:00am

30 year old male

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Fri, 09/11/2020 - 2:00am

A 52-year-old woman with a history of hypertension sustained a large left frontoparietal intracerebral hemorrhage resulting in right-sided flaccid paralysis complicated by acute respiratory failure status post tracheostomy for prolonged mechanical ventilation. She is transferred to the step-down intensive care unit for ventilator weaning. Serum calcium level returns elevated at 11.3 mg/dL with a serum albumin level of 2.8 g/dL. What is the most likely cause of her hypercalcemia and how should it be managed?

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Thu, 09/10/2020 - 6:00am

Dr. Murphy discusses some Carbon Monoxide pearls.

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Wed, 09/09/2020 - 8:37am

 

 

A 16 month old brought in for wheeze and cough

 

 

 

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