COVID-19: Awake Repositioning / Proning
For the hypoxemic patient with COVID-19, what can you use to improve V/Q matching and oxygen saturations?
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Managing the Patient with AMI and COVID-19 – JACC Consensus Statement
What should you do with the patient with STEMI and COVID-19? PCI? Fibrinolysis? What about NSTEMI? Thankfully, a consensus statement published in the Journal of the American College of Cardiology answers these questions and more.
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COVID-19: Oxygen Escalation Therapy and Noninvasive Ventilation
How do you manage the patient with COVID-19 and hypoxemia? This post evaluates escalation of oxygen therapy, HFNC, and non-invasive ventilation with resources you can use for your next shift.
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EM@3AM: Anterior Shoulder Dislocation
A 35-year-old male presents with right shoulder pain. He was playing football with some friends, and as he was in the midst of throwing the football, a friend hit his throwing arm. He is holding his arm in an internally rotated and abducted position. You are able to detect an ulnar and radial pulse in the hand of the affected arm, and his median, ulnar, and radial motor and sensory function is normal in the right hand. What’s the next step in your evaluation and treatment?
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Personal Protective Equipment (PPE) Pearls – COVID-19
How can you best protect yourself when evaluating and managing patients with COVID-19?
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Managing the Critical COVID-19 Patient – SCCM Guidelines
COVID-19 is a global pandemic. This post focuses on management of the critically ill patient with COVID-19 by discussing the recently published Society of Critical Care Medicine and European Society of Intensive Care Medicine Guidelines.
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EM@3AM: Malaria
A 42-year-old male presents with headache, fever, chills, nausea, and myalgias. He returned from a month-long trip to Africa several weeks ago. On examination, he is tachycardic and febrile. You do not find a rash or meningismus, but you palpate an enlarged spleen and liver. What is your next step in evaluation and management?
EM@3AM: Pancreatitis
A 39-year-old female presents with severe epigastric pain, nausea, and several episodes of non-bloody, non-bilious emesis. The pain is sharp and radiates to her back. On examination, she is tachycardic and tachypneic with diffuse abdominal tenderness, but afebrile. Her lipase returns at 1100 U/L. What is your next step in evaluation and management?
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EM@3AM: The Sick Neonate
A 10-day-old female presents with her parents with poor feeding and increased work of breathing. Her urine output has been poor, but her parents have not observed fevers. She is afebrile, but her HR is 188, RR is 61, and oxygen saturation is 94% on room air. She demonstrates increased work of breathing and retractions and appears lethargic. Her serum glucose is 48. What is your next step in evaluation and management?
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Community-Acquired Pneumonia: ATS/IDSA Guidelines Update
The last community-acquired pneumonia guidelines from the ATS/IDSA were released in 2007. Ready for an update?
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