Browsing: Clinical

Medical Education , Sepsis , Critical Care

SIRS Criteria: A Nidus for Bias and How to Minimize It

1/31/2018 Erich Burton, DO , Michael Stanley, DO

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

Clinical , Toxicology

Contemporary Caffeinated Complaints

1/29/2018 Travis Marshall, MD

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

Critical Care , Critical Care Alert

Critical Care Alert: Incidence of Coronary Intervention in Cardiac Arrest Survivors with Non-shockable Initial Rhythms and No Evidence of STEMI

1/2/2018 Jonathan Jaffe, MD

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

Critical Care , Clinical , Critical Care Alert

Critical Care ALERT! Apneic Oxygenation in RSI

12/4/2017 Yanika Wolfe, MD

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

Critical Care , Clinical , Critical Care Alert

Critical Care Alert: Angiotensin II for the Treatment of Vasodilatory Shock (ATHOS-III)

12/4/2017 Sam Khan, MD

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

Ultrasound

Management of Shock: Bedside Assessment of Cardiac Output

11/30/2017 Marsia Vermeulen, DO, FACEP , Joseph Levin, MD

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

Ultrasound

Tamponade and Valvular Catastrophe: TTE in the Hemodynamically Unstable Patient

11/30/2017 Phil Andrus, MD, FACEP , Di Coneybeare, MD , Clark Owyang, MD

Tamponade and Valvular Catastrophe: TTE in the Hemodynamically Unstable Patient A 70-year-old man with a history of coronary artery disease, hypertension, hyperlipidemia, and diabetes is brought to t

Clinical , Visual Diagnosis

Diagnose this Condition

11/30/2017 Browning S. Wayman, MD, DTM&H , Branden Skarpiak, MD , Bradley Goettl, DNP, APRN, FNP-C, ENP-C

Diagnose this Condition The Case. A 31-year-old male presents to the emergency department with a chief complaint of “rash to both legs.” Three weeks ago, the patient's vehicle was stuck in the sand

ECG Challenge

ECG Challenge - Nov 2017

11/30/2017 Jeremy Berberian, MD , Jayram Pai, MD , Daniel O’Sullivan, MD

ECG Challenge - Nov 2017 Case. A 71-year-old male presents with exertional syncope. What do you see in the following ECGs (taken 4 minutes apart)? Answer Image 1. This ECG shows an atrial rate of ~78

Toxicology

It's Getting HOT in Here! A Review of Serotonin Syndrome

11/30/2017 Stephen Hallisey, MD , Joshua Glick, MD , Clinton J. Orloski, MD

It's Getting HOT in Here! A Review of Serotonin Syndrome You are called to evaluate a 74-year-old woman who was found by her daughter, confused and unable to get out of bed. The patient's only medica