Tue, 01/03/2017 - 12:14pm

Dynamic hyperinflation (autoPEEP, air trapping, etc.) is a process leading to an increase in end-expiratory lung volumes and increased airway pressures. This process may occur secondary to obstructive lung pathology and/or an increase in minute-ventilation without sufficient time for expiration. The pathologic effects of dynamic hyperinflation include an increased work-of-breathing, barotrauma, pneumothorax, and an increase in intrathoracic pressure leading to a decrease in cardiac output and possible hemodynamic collapse. Rapid identification of this process is crucial for reversing it.

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Mon, 01/02/2017 - 12:08pm

You have made the diagnosis of disseminated gonococcal infection in your patient presenting with history and physical exam findings suggestive of purulent arthritis, now what?

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Sun, 12/25/2016 - 5:42pm

Thank you to everyone who has contributed to and enjoyed EMDaily. We are all looking forward to a great year in 2017. Come back in 2017 for more exciting FOAMed from EMDaily. Happy New Year!

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Sat, 12/24/2016 - 6:10am

The most commonly used induction agent for rapid sequence intubation in the acutely injured patient is etomidate, largely due to its rapid onset of action and hemodynamically "neutral" effects.

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Fri, 12/23/2016 - 6:29am

A high-yield introduction to the use of ECMO in hypothermic patients!

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Thu, 12/22/2016 - 3:29pm

This post aims to shine a light on a possibly emerging use of bedside ultrasound.

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Wed, 12/21/2016 - 10:47am

Case: A 2 year-old male with no significant PMH is brought to the Emergency Department by his mother for intermittent abdominal pain for

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Tue, 12/20/2016 - 6:54am

It’s another busy shift in the Emergency Department and you are seeing the third patient of the day in atrial fibrillation with rapid ventricular response. You think to yourself, “simple plan and disposition: stabilize, start on a diltiazem infusion, anticoagulate and admit to cardiology, right?” Well before you proceed with this well accepted approach, consider an alternative management strategy where you can even discharge the patient home!

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Mon, 12/19/2016 - 1:03pm

Patella fractures represent 1% of all fractures and are commonly seen after direct trauma to the bone (fall onto flexed knee, "dashboard" injury"). When to involve your consulting orthopedic surgeon is a key branch point in the management and care of these patients.

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Sun, 12/18/2016 - 6:03am

A high-yield review of the past week on EMDaily.

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