Take Home Points When approaching the patient with uspected seizure, focus on questions that matter in determining if the event was a seizure or not Extensive lab work after a first time seizure is not necessary in patients who are ...
Background: Hydroxychloroquine (HCQ) is an antimalarial and immunomodulatory drug that is postulated to exert an antiviral effect by increasing intracellular pH resulting in decreased viral binding at the ACE2 receptor. Azithromycin is a macrolide antibiotic that also has anti-inflammatory and ...
Background: In patients presenting to the ED with acute coronary syndrome (ACS), dual antiplatelet therapy is the current standard treatment. This typically consists of aspirin and an adenosine diphosphate receptor antagonist. It is fairly well understood that prasugrel and ticagrelor ...
Background: In patients with acute respiratory distress syndrome (ARDS) the National Heart, Lung, and Blood Institute ARDS clinical trials network recommends a target partial pressure of arterial oxygen (Pao2) between 55 and 80 mmHg. Goals of arterial oxygenation are not based ...
Background: Acute gastrointestinal bleeding (GIB) is a common diagnosis dealt with by emergency clinicians. Definitive therapy for acute GIB often includes endoscopy or surgery. However, there is a myriad of pharmaceutical options (i.e. PPI, Somatostatin Analogues, Antibiotics, etc.) as well ...
Definition: Suppurative infection enclosed within the epidural space Epidemiology Incidence: 2-3 cases per 10,000 hospitalized patients (Sendi 2008). Rate is increasing given the rise in number of spinal procedures and anesthesia techniques Mortality is low at 5%, however, if untreated ...
Take Home Points Heat stroke is a life-threatening disorder characterized by elevated core temperature, compromise to neurologic function and multi-system organ dysfunction The keystone of treatment is rapid cooling within 30 minutes of presentation preferably with ice water immersion Patients ...
Background: We have been in need of a sign of hope in the fight against SARS-CoV-2 as it runs from city to city overwhelming health systems. The majority of patients will be either asymptomatic or have only mild disease. These ...
Ear, nose, and throat (ENT) complaints are commonly seen in the emergency department. When you hear “ENT emergencies,” you probably think about epistaxis, sinusitis, and possibly foreign body removal (either from the ear or nose). While not as common, auricular ...
Background: Here we go again with another “Time is Brain,” acute ischemic stroke study. The authors start out by saying that earlier administration of intravenous tPA in acute ischemic stroke is associated with reduced mortality by the time of hospital ...
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