In the fall of 2014, while working overnight in the emergency department at a community hospital in NJ, a patient (let’s call him John) presented with ACE inhibitor angioedema. At first glance, his lips were swollen, but his tongue and ...
Take Home Points FBs are a very common complication of wounds. X-ray is poor at detecting foreign bodies US is a tremendous tool and be used dynamically at the bedside to assist w FB extraction Prophylactic antibiotics are not routinely ...
Background: Tension Pneumothorax (TP) can occur as a potentially life-threatening complication of chest trauma. With the risk of respiratory and cardiac arrest, an immediate temporizing intervention for this condition is required by direct Needle Decompression (ND). In 2018, the Advanced Trauma ...
Background: In patients requiring mechanical ventilation, sedative medications are used for patient comfort and safety. However, these medications can also lead to brain dysfunction (i.e. delirium or coma) and long-term cognitive impairment. Currently, the Society of Critical Are Medicine ...
By the time you finish reading this post, you could have completed most items on your daily to-do list. It’s surprising how many tasks can be completed in under 2 minutes once the next action is clarified.
Background: Since the publication of the before and after Marik trial published in 2016, there have been six randomized clinical trials trying to answer the question of the utility of the metabolic cocktail (Vitamin C, thiamine, and hydrocortisone) in ...
Take Home Points Altered mental status has numerous possible etiologies. Splitting it into vital sign issues, toxic/metabolic, infectious processes, CNS issues (bleed, mass) and psych/dementia is a good way to organize your thoughts Hypertensive encephalopathy is a diagnosis of exclusion ...
Background Information: The use of corticosteroids in patients with pneumonia secondary to COVID-19 has been a controversially hot topic, particularly early on in the pandemic. Prior evidence seen in Severe Acute Respiratory Syndrome (SARS) and Middle Eastern Respiratory Syndrome have ...
Background: Respiratory tract infections (RTIs) are a common reason for medical visits in kids. Most RTIs are self-limited and the addition of antibiotics rarely alters the course of disease. However, antibiotics are frequently prescribed for these conditions. Antibiotic overuse is ...
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