On 2/19, we’ll discuss the recent NEJM publication on transfusion strategies in upper GI bleeds. Their results may surprise you. Can they be extrapolated to other bleeders? Read, enjoy, and post. http://www.nejm.org/doi/full/10.1056/nejmoa1211801
CCT 4 AM. Trauma Note – GSW to abdomen. On arrival, wound to RUQ, another to L flank. HR 130s, BP 70s/40s. The CCT junior throws in two 14 gauge peripheral IVs, and attaches the trauma lines. Two liters NS…
EM-CCM Conference: January 2014 Presented by Dr. LoCascio Summary by Dr. Grock The Case: 67 yo F pmhx ESRD on HD, HTN with slurred speech and Left sided weakness starting at 19:30. H&P and work-up significant for BP 208/95,…
Quick case: It’s 3am. A 55yM, with a pmhx of chubbiness, DM, HTN is brought in by EMS after being found down. He is pulse-less, with an initial rhythm of ventricular fibrillation. He is shocked appropriately and exquisite ACLS…
The Wilderness Medicine group met for the second time this month and had a great time playing with sharp objects. We reviewed this paper: Epi_Pen Paper This paper teaches you how to safely open an Epi-Pen to get up to…
The Case 75 yo female, multiple medical problems presents with subjective fever/cough for 2 days. Work-up shows – nml VS, lactate 1 and left lower lobe infiltrate. Unfortunately she’s CURB-65 of 2 (age and BUN) with PORT score of 95. …