What to consider and keep in mind when confronted with the all-too-common violent patient in the ED...
Treat the patient, not the number. A blood pressure of 120/80 mmHg in a chronically hypertensive patient can be dangerously low. Whatever the HPI may suggest, unbiased implementation of the bedside physical examination and sonography are crucial in the workup of unexplained hypotension. This four st...
How ultrasound can help you win your fantasy football championship
A minute-by-minute Jack-Bauer-24-type walkthrough for approaching the unstable upper GI bleed Tintinalli's - Upper GI Bleed link
Your next 3 patients… #1: Gastric bypass pt with SIRS criteria #2: Gastric bypass pt with psychiatric complaints #3: Gastric bypass pt with nausea/vomiting The Basics -Morbid obesity continues to rise significantly (epidemic) -Increasing # of weight-loss surgeries w/ physical/psych effects => ...
The neck is a particularly tricky area of assessment and management in the trauma patient, as it is the location for many vital structures. Concern for vascular, neurologic, digestive tract, and airway injury are of paramount importance in the evaluation of these patients, as all can be life-threate...
Case A 67 year old woman with metastatic squamous cell cancer presents to the emergency department having been found on the floor by a family member. She lived alone and cared for herself and was apparently given to heavily imbibing in solutions containing two carbon fragments. She was clearly quit...
