Browsing: Critical Care

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REBOA: A Precious (Life)line A 25-year-old male is brought in by EMS with a gunshot wound. Vital signs are as follows: HR 130 BPM, BP 60/palp, RR 24, SpO2 99% RA, and temperature 37.5 Celsius. He app
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Sepsis-3: Redefining Sepsis What EM Residents Need to Know Sepsis definitions were last revised in 2001. Since then, discoveries have been made regarding the pathobiology, management, and epidemiolog
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Introducing the ALTO Alternatives to Opioids Program Steven Stack, MD, FACEP, an emergency medicine physician and immediate past-president of AMA, confronted the crisis in an open letter to America's
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Ahead of the Curve: Assessment of Fluid Responsiveness in the ED A 70-year-old male with a history of atrial fibrillation and congestive heart failure presents to the emergency department (ED) hypote
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Critical Care Alert! Video Laryngoscopy vs. Direct Laryngoscopy During Urgent Endotracheal Intubation A 42-year-old man who is diagnosed with community acquired pneumonia is transferred from the medi
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A Leg Up: Management of Chronic Wounds in the ED A 54-year-old male with a history of hypertension and morbid obesity presents to the emergency department (ED) with bilateral foot, ankle, and calf pa
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Under Pressure: Abdominal Compartment Syndrome A 24-year-old male arrives to the emergency department (ED) after a motor vehicle collision. Initial workup reveals pelvic fractures with a small amount
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Fractures and Fat Globules: Fat Embolism Syndrome EMS brings in a 20-year-old male who jumped from an overpass in a suicide attempt. He arrives with normal hemodynamics and is found to have bilatera
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ED-ECMO: Coming Soon to an ED Near You A 52-year-old man experiences crushing sub-sternal chest pain while walking through the mall and slumps to the floor. EMS performs an EKG and notes tombstone ST
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Toxic Shock Syndrome A 36-year-old man presents to the emergency department (ED) with altered mental status. Family reveals no significant medical history outside of recurrent epistaxis and a progres