Background: We have all seen the wide spectrum of illness caused by COVID-19 ranging from asymptomatic disease on one extreme all the way up to critical illness, acute respiratory disease and ultimately death at the other extreme. In the most ...
Background: It’s no surprise that unplanned, emergency intubations are significantly different from intubations in the operating room (OR). Unplanned intubations on the floors and in the ED and ICU settings are highly unlikely to be “physiologically optimized:” they have underlying ...
Background: Coronary pathology in patients with NSTEMI can range from structurally normal vessels to varying degrees of nonobstructive coronary artery disease (CAD) to extensive obstructive CAD affecting the coronary tree. The current diagnostic pathway to differentiate these different coronary pathologies ...
Take Home Points If youre concerned about a retained foreign body make sure to get imaging There is a higher risk of wound infection associated with age, diabetes, wound size, contamination, and a location not on the head or neck. ...
Background: A patient presents to the emergency department (ED) for medical treatment. After comprehensive evaluation and management, the patient’s condition improves and you prepare to discharge the patient home. The nurse notifies you the blood pressure (BP) is 185/105 and ...
Background Information: Over one year into the pandemic many therapies to treat COVID-19 have targeted innumerable aspects of the virus. Most recently, the use of corticosteroids to treat the virus’ excessive inflammatory effects has become the front and center of ...
Background: Occlusion myocardial infarction (OMI) is defined as acute coronary occlusion or near occlusion with insufficient collateral circulation leading to downstream myocardial infarction. Currently, we use STEMI ECG criteria to identify acute coronary OMI in the clinical setting. The diagnosis ...
Take-Home Points: The conditions needed to achieve flow are: Clear goals Immediate feedback Balance between challenge and skill We can use the flow state to supercharge our productivity. Establish clear goals Preform deep work Reflect on shortcomings
Background: Hyponatremia is one of the most common electrolyte abnormalities seen in clinical practice. Under-correction could lead to cerebral edema, whereas overcorrection could result in osmotic demyelination syndrome (ODS). The current recommendation is to use hypertonic saline in small, fixed, ...
Take Home Points There is no strict golden hour for wound closure. Location, contamination and patient factors all should be taken into account Dog bites can be closed primarily. Bites on the hand and foot are higher risk for infection. ...
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