Early reports have shown that COVID-19 is most likely causing a hypercoagulable state, however the prevalence of acute VTE and exactly how to treat it is an evolving area. Limited data suggest pulmonary microvascular thrombosis may play a role in progressive respiratory failure. However, most evidence is limited to small retrospective trials. As we wait for more evidence, clinical decisions have to made at the bedside and decisions about pharmacological prophylaxis are starting to emerge. In this episode I sit down with a special guest that is new to REBEL Cast to talk about the dilemmas involving COVID-19 and thrombosis....Read More
In this episode of REBEL Cast,I sit down with Richard Levitan and talk about some ideas from his experience in New York, where he spent 10 days during the surge of the COVID-19 pandemic. And the lessons he took away were, I think, invaluable for how we’re going to manage these patients going forward....Read More
Airway Pressure Release Ventilation (APRV) is a mode of ventilation that allows spontaneous breathing throughout the ventilation cycle. It is a time-cycled mode of ventilation between two levels of positive airway pressure with the main time on the high level and a shorter period of time during the expiratory release to facilitate ventilation. This may not be a mode of ventilation many ED physicians are comfortable and have experience with and in this podcast Frank Lodeserto, MD reviews how to setup, titrate, and wean patients on this mode of ventilation.
Hyperthyroidism can present along a spectrum from the minimally symptomatic to severely decompensated and presentation can vary with age
If there are a lot of interconnecting systems complaints consider obtaibning a TSH, t3 and t4
Once you’ve diagnosed hyperthyroidism, dont anchor on it. Look for what might have caused it especially in those with comorbidities
If the patient is stable and reliable you can discharge them home with Atenolol. Make sure to have the patient follow up with their PCP or Endocrinologist. If, however, you feel uncomfortable doing that or the patient needs more social support, call your endocrinologist on call and get their recommendations.