Browsing: Clinical

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Anhydrous Caffeine: The Other White Powder One teaspoon of anhydrous caffeine may equal approximately 25-28 cups of coffee, which can be deadly. Caffeine, formally known as (1,3,7-trimethylxanthine),
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Postpartum Seizures A 25-year-old female presents to the ED after experiencing 3 seizures at home. She was discharged 1 day prior after a primary cesarean section because of failure to progress. She
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Controversies Surrounding Ultrasound Guided Regional Anesthesia in the ED Ultrasound guided regional anesthesia was first introduced in 1994, and it has since become a powerful tool for achieving ade
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Solve This Medical Mystery OK, residents (and ambitious students): It’s time for a friendly competition. We’re giving away a prize package to the person who submits the most accurate, thorough interp
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SIRS Criteria: A Nidus for Bias and How to Minimize It As the use of SIRS persists, it’s worth re-examining its intended application, potential for error, and current utility. With the removal of Sys
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Contemporary Caffeinated Complaints The Drug Abuse Warning Network found that from 2005 to 2011, the number of ED visits for caffeine increased from 1,500 a year to more than 20,000. Today’s caffeine
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Critical Care Alert: Incidence of Coronary Intervention in Cardiac Arrest Survivors with Non-shockable Initial Rhythms and No Evidence of STEMI A 59-year-old male presents to the emergency department
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Critical Care ALERT! Apneic Oxygenation in RSI A 57-year-old male presents to the emergency department for shortness of breath. He became more hypoxic despite applying NIPPV. You decided to proceed w
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Critical Care Alert: Angiotensin II for the Treatment of Vasodilatory Shock (ATHOS-III) A 68-year-old female with recurrent UTIs presents to the ED with 3 days of fever, back pain, and dysuria. She i
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Management of Shock: Bedside Assessment of Cardiac Output A 75-year-old male with a past medical history of congestive heart failure, diabetes mellitus, hypertension, and coronary artery disease pres