Mon, 09/28/2020 - 5:04am

Your two minute review on right and left bundle branch blocks - brought to you by Dr. Kate Billings.

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Sat, 09/26/2020 - 5:00am

A 50 yo female wi

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Fri, 09/25/2020 - 2:01am

A 49-year-old woman was intubated for acute hypoxemic respiratory failure secondary to pneumonia, which was complicated by empyema. She failed extubation and ultimately required tracheostomy for prolonged mechanical ventilation. After transfer to the intermediate care unit, she was successfully weaned from the ventilator for over 24 hours. She tolerated prolonged deflation of her tracheostomy cuff and swallowed water without aspiration. She underwent a tracheostomy tube occlusion test and there was no obstruction to air flow with a size 7 fenestrated tracheostomy tube in place. She is requiring suctioning once every 12 hours. You are assessing her readiness for tracheostomy decannulation and are considering the utility of a capping trial.    

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Thu, 09/24/2020 - 6:00am

Dr. Murphy discusses Methemoglobinemia. 

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Wed, 09/23/2020 - 7:36am

A 53 yo male presents with right hand pain

 

 

 

 

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Tue, 09/22/2020 - 6:42pm
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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