Dhimitri Nikolla, DO

Dual Defibrillation: The Achilles' Heel of Refractory V-Fib? Proposed theories as to why DD may be efficacious include the delivery of more energy to overcome the defibrillation threshold as well as
Evidence-Based Updates Case 1 A 6-year-old female presents with 3 days of fever, nausea, and vomiting from a presumed viral gastroenteritis. On examination she is febrile to 39 degrees Celsius and he
How LOW Can You Go? Sulfonylurea-Induced Hypoglycemia A 66-year-old female with a past medical history of diabetes mellitus type two and dementia presents to your emergency department with hypoglycem
Stroke Alert: Beyond the Non-Con A 60-year-old female presents to the ED with altered speech and decreased responsiveness that began less than one hour ago. Outside of a resolving hypoxia, all vital
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