A 58y.o presents with 90 minutes of palpitations, chest pain, dizziness and this ECG
The following ankle x-rays are from a 77 year old male with right ankle swelling and pain who has a history of hypertension. What can you see? Continue reading
A 68 y.o female, with a history of AF, presents complaining of palpitations intermittently over the last 4 days with a concurrent viral upper respiratory tract infection and this ECG
The Urgent Endotracheal Intubation (UEI) describes the primary intubation scenario that occurs in the ED where intubation must proceed in a semi-rapid or rapid fashion due to the patient’s clinical state.
We discuss the Rapid Sequence Intubation, the mainstay of the UEI with the longest history and firmest evidence base.
In Beyond the Basics we look at alternatives to RSI including:
- Modified RSI
- Rapid Sequence Airway (RSA)
- Delayed Sequence Intubation (DSI)
- Awake Intubation
- Inevitable Surgical Airway
This 30 year old punched an object and heard a ‘click’ sound in his wrist following the episode. The following x-rays belong to the patient; what can you see? Continue reading
The End of Therapeutic Hypothermia?
HOT OF THE PRESS: this new article in NEJM, the Targeted Temperature Management (TTM) trial, that I came across initially courtesy of @CHsu1012 (and then from just about every FOAM resource on the planet due to the significance of these findings) found no benefit of cooling to 33 degrees v 36 degrees. That’s right – no benefit!
A 56 yr old male presents with episodic chest pain over the preceding few days and this ECG while painfree
The following chest x-rays are from a 60 year old male patient with history of a cough and weight loss. What can you see?
The commonly used treatments for acute asthma in the Emergency Department as well as the available evidence, are described here for:
- the mild/moderate asthmatic
- the severe/unresponsive asthmatic
A 65y.o with a history of recent intermittent exertional chest pain now presents with 1 hour of chest pain, SOB, diaphoresis and this ECG