Browsing: Clinical

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Toxicology

Don't Get Burned by Hydrofluoric Acid Toxicity

6/10/2019 Nancy A. Rice, MD, MS , Spencer Greene, MD, MS, FACEP, FACMT
Hydrofluoric acid is found in a variety of products and used in multiple industries, so exposure, while not exceedingly common, is not rare. Know how to treat HF toxicity and prevent contamination amo
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Toxicology

Kratom: A Blurb on the Herb

6/10/2019 Kyle Suen, MD , William Eggleston, PharmD, DABAT
As kratom becomes more ubiquitous in the United States, a growing body of literature calls into question the safety of this herbal supplement.
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Ultrasound , Cardiology

An Atypical Presentation: Cardiac Tamponade and the Value of Point-of-Care Ultrasound

6/10/2019 Christopher M. Tripp, MD , Zachary T. Grambos, MD
Point-of-care ultrasound potentially saved a life in this case of cardiac tamponade in a patient with end-stage renal disease.
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Cardiology

From Dizzy to Torsades de Pointes: A Case Report

6/10/2019 Afrah A. Ali, MBBS , Muhammad Sameed, MBBS
The most common cause of torsades de pointes is acquired prolongation in the QT interval because of medication. Treating it may require pharmacologic pacing or, in some circumstances, mechanical pacin
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Pulmonary , Critical Care

Management of Simple and Systemic Asphyxiant Injury

6/10/2019 Justin De la Fuente , Tim Montrief, MD, MPH
Although asphyxiant exposure is a relatively uncommon phenomenon, it is important to keep in mind when evaluating an altered patient or a patient who has been found down, particularly in industrial or
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Cardiology

STEMI Equivalents: Can't-Miss Patterns

6/9/2019 Daniel Kreider, MD , Jeremy Berberian, MD
STEMI equivalents represent coronary occlusion without meeting the traditional STE criteria. It's important important to recognize these patterns in a timely fashion.
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Critical Care , Cardiology , Deep Dive in CritCare

Deep Dive into the Evidence: Epinephrine in Cardiac Arrest

6/5/2019 Sean M. Hickey, MD , Bryan Beattie, MD , Yanika Wolfe, MD , Emily Gillespie , Meghan Gorski, DO , Mina Ghobrial, MD , Susannah Empson, MD
Epinephrine is a commonly administered vasopressor in cardiac arrests. Does the evidence support this intervention?
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Critical Care , Critical Care Alert

Critical Care Alert: Closed Chest Compressions in Traumatic Cardiac Arrest

5/18/2019 Sean M. Hickey, MD , Bryan Beattie, MD
The study authors sought to examine the effect of closed chest compressions on cardiac arrest due to hemorrhagic shock versus whole blood resuscitation.
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Critical Care , Critical Care Alert

Critical Care Alert: Early Use of Norepinephrine in Septic Shock Resuscitation (CENSER): A Randomized Trial

5/17/2019 Jonathan Pickos, DO , Sean M. Hickey, MD
The study authors sought to examine if early norepinephrine administration in patients diagnosed with septic shock improved shock control by 6 hours compared with standard care.
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Critical Care , Critical Care Alert

Critical Care Alert: Crystalloids vs Colloids for Fluid Resuscitation in the Intensive Care Unit: A Systematic Review and Meta-analysis

5/17/2019 Omid Manoochehri, MD , Sean M. Hickey, MD
Surviving Sepsis Guidelines recommend crystalloids for initial fluid resuscitation then switching to albumin when crystalloids are insufficient. There is debate regarding using colloid as an initial r