US Probe: Velocity Time Integral (VTI) in Sepsis Management
How can you use Velocity Time Integral (VTI) for the evaluation and management of sepsis?
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emDOCs Podcast – Episode 122: Performing Under Pressure
How do you calm the chaos and perform under pressure?
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Journal Feed Weekly Wrap-Up
Journal Feed covers combination inhalers for mild asthma, treatment of cervical artery dissection, and the shock index in trauma.
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EM@3AM: Bradypnea
A 53-year-old male with hyperlipidemia and cervical stenosis presents with dyspnea, which has been worsening since his cervical spinal fusion 6 days ago. He states he is very fatigued and feels as though he cannot get a deep breath. Vital signs revealed a BP of 136/76, HR of 88, RR of 9, SpO2 of 94% on room air, and a temperature of 97.6 F. On physical exam, the patient is lethargic, has nasal flaring, and is using accessory muscles to breathe. Lung sounds are clear. On cardiac exam, there is normal rate and rhythm without murmur, rubs, or gallops. His capillary refill is 2 seconds. His surgical incision looks clean and without any signs of infection. An ABG is drawn and reveals pH of 7.53, pCO2 of 58, and PO2 of 83. Chest X-ray shows some mild atelectasis but no acute infiltrates. What is the diagnosis?
ECG Pointers: Pain Free but Not Worry Free
What should you be worried about with the patient who is now chest pain free but has biphasic T waves in V2 and V3?
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Journal Feed Weekly Wrap-Up
Journal Feed covers CAP antibiotics, MAP goals in elderly patients with septic shock, and a decision rule for head CT.
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US Probe: Assessing Venous Congestion – The VExUS Approach
What is the VExUS Approach to evaluating for venous congestion?
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ECG Pointers: Well, it seems as though your colon is trying to kill your coronaries
Dr. Tannenbaum covers a case of GI bleed and ST segment changes.
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emDOCs Podcast – Episode 121: Ebola Virus Disease
Jess Pelletier and Brit Long cover Ebola: when should you suspect this, what is the evaluation, and what is the treatment?
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EM@3AM: Inflammatory Bowel Disease
A 24-year-old male with no past medical history presents with several days of oral ulcers and throat pain. He also notes multiple months of diarrhea and hematochezia. He has lost roughly 30 lbs over the preceding 6 months. He has normal vital signs but appears malnourished, with a weight of 48 kg. He has dry oral mucous membranes, abdomen is diffusely tender, and he has ulcers on the uvula and soft palate. Labs reveal anemia, leukocytosis, electrolyte abnormalities, and elevated inflammatory markers. What is the diagnosis?
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