Browsing: Clinical

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Toxicology

Early Aggressive Whole Bowel Irrigation to Prevent Severe Lithium Toxicity After Acute Overdose

6/10/2019 Omid Manoochehri, MD , Alex Manini, MD , Josh Wang, MD , Larissa Laskowski, DO , Jeremy Rose, MD
Hemodialysis is the definitive modality of lithium clearance in severe toxicity. In early overdose, however, whole bowel irrigation may prevent lithium absorption and subsequent toxicity if mental sta
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ECG Challenge , Cardiology

ECG Challenge: June 2019

6/10/2019 Paige Ostahowski, MD , Mahesh Polavarapu, MD , Jeremy Berberian, MD
A 62-year-old female presents with 1 hour of crushing substernal chest pain. What is your interpretation of this EKG?
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Toxicology

Don't Get Burned by Hydrofluoric Acid Toxicity

6/10/2019 Nancy A. Rice, MD, MS , Spencer Greene, MD, MS, FACEP, FACMT
Hydrofluoric acid is found in a variety of products and used in multiple industries, so exposure, while not exceedingly common, is not rare. Know how to treat HF toxicity and prevent contamination amo
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Toxicology

Kratom: A Blurb on the Herb

6/10/2019 Kyle Suen, MD , William Eggleston, PharmD, DABAT
As kratom becomes more ubiquitous in the United States, a growing body of literature calls into question the safety of this herbal supplement.
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Ultrasound , Cardiology

An Atypical Presentation: Cardiac Tamponade and the Value of Point-of-Care Ultrasound

6/10/2019 Christopher M. Tripp, MD , Zachary T. Grambos, MD
Point-of-care ultrasound potentially saved a life in this case of cardiac tamponade in a patient with end-stage renal disease.
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Cardiology

From Dizzy to Torsades de Pointes: A Case Report

6/10/2019 Afrah A. Ali, MBBS , Muhammad Sameed, MBBS
The most common cause of torsades de pointes is acquired prolongation in the QT interval because of medication. Treating it may require pharmacologic pacing or, in some circumstances, mechanical pacin
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Pulmonary , Critical Care

Management of Simple and Systemic Asphyxiant Injury

6/10/2019 Justin De la Fuente , Tim Montrief, MD, MPH
Although asphyxiant exposure is a relatively uncommon phenomenon, it is important to keep in mind when evaluating an altered patient or a patient who has been found down, particularly in industrial or
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Cardiology

STEMI Equivalents: Can't-Miss Patterns

6/9/2019 Daniel Kreider, MD , Jeremy Berberian, MD
STEMI equivalents represent coronary occlusion without meeting the traditional STE criteria. It's important important to recognize these patterns in a timely fashion.
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Critical Care , Cardiology , Deep Dive in CritCare

Deep Dive into the Evidence: Epinephrine in Cardiac Arrest

6/5/2019 Sean M. Hickey, MD , Bryan Beattie, MD , Yanika Wolfe, MD , Emily Gillespie , Meghan Gorski, DO , Mina Ghobrial, MD , Susannah Empson, MD
Epinephrine is a commonly administered vasopressor in cardiac arrests. Does the evidence support this intervention?
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Critical Care , Critical Care Alert

Critical Care Alert: Closed Chest Compressions in Traumatic Cardiac Arrest

5/18/2019 Sean M. Hickey, MD , Bryan Beattie, MD
The study authors sought to examine the effect of closed chest compressions on cardiac arrest due to hemorrhagic shock versus whole blood resuscitation.