You receive a prehospital stroke alert from ALS for a 73 yo male found down, minimally responsive. "Pretty routine" you think as you listen to report from the paramedic...that is, until you hear the vital signs: "Blood pressure is 270 over 140." That's the highest blood pressure you've ever heard of and you immediately begin to worry about how the human brain can possibly tolerate this as you head to the resuscitation bay to assemble your team...
Read moreSubmitted by Alyse Volino, MD
Dr. Kovalsky discusses the use of POCUS in the diagnosis & evaluation of pediatric skull fractures.
Read moreSubmitted by Danielle Kovalsky, MD
A 50 yo M with no PMHx presents to the ED with knee pain after falling from standing height.
Read moreSubmitted by Eric Chavis, MD
Your nurse approaches you and says there is a new patient who arrived via EMS with shortness of breath. And his o2 sat is 65% on nasal canula. That gets you out of your chair and into the room in a hurry and you wrack your brain for the various causes of acute onset hypoxia as you enter the room (and no, it's not Covid-19!)
Read moreSubmitted by Karen O'Brien, DO
A growing body of literature shows targeting capillary refill time is non-inferior to lactate clearance in sepsis resuscication.
Read moreSubmitted by Lars-Kristofer Peterson, MD
A 31-year-old female with a history of Type 1 Diabetes presents via EMS after being found unresponsive by family. You assess the patient and are concerned about DKA. Let's interpret her acid-base status.
Read moreSubmitted by John Cafaro MD
