EM-CCM CONFERENCE SUMMARY PRESENTED BY DR. PIA DANIEL SUMMARY BY DR. FRANCIS YOUN CASE: Elderly, bedbound, nonverbal female with past history of dementia, hypothyroidism, sigmoid volvulus s/p sigmoidectomy and colostomy sent from NH for altered mental status, fever, and…
Here’s Dr. Alsup with today’s Morning Report! ETCO2 – Capnography Technology -Infrared spectroscopy, co2 absorbs specific wavelength -Micro sampling vs in line spectroscopy Physiology -Aerobic cell metabolism produces co2 -CO2 diffused easily across alveoli and exhaled -CO2…
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,…
The debate on the treatment of circulatory shock is over(-ish?). Ever since the NEJM put out its big RCT on the treatment of all-comer shock[i], we know that norepinephrine is the vasopressor of choice. Septic, cardiogenic….doesn’t matter. Norepinephrine is superior…
Thanks to Dr. LoCascio for today’s Morning Report! Out-of-Hospital Cardiac Arrest AMA Council on Ethical and Judicial Affairs states that CPR may be withheld, even if requested, “when efforts to resuscitate a patient are judged by the treating…
Here’s Dr. DiMare with another Morning Report! Fibrinolytics for Suspected PE in Cardiac Arrest tPA in cardiac arrest seems like a great idea – 81% are from MI and PE – only 2-10% survival in out of hospital…
ED Critical Care Conference: Sept 2013 The Curious Case of AMS with an (initially) Normal CT Head presented by Dr. Andy Grock Case: 24 yo M, no pmhx presents AMS s/p assault. MRI shows Diffuse Axonal Injury. TBI Discussion Severity…