FOAMed

Choosing Wisely: Non-invasive ventilation in patients with acute respiratory failure from pneumonia

You have a patient with respiratory distress due to severe pneumonia. What should you do? Do you intubate immediately, place the patient on noninvasive positive pressure ventilation, or high flow nasal cannula? This post from Dr. Lentz and colleagues explores your options.

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EM@3AM: Hypoglycemia

A 27-year-old female with a history of insulin-dependent diabetes presents to the ED on a Friday evening somnolent and disoriented. Her coworkers report she started slurring her speech and became increasingly altered after they met at a bar after work.  Exam reveals a diaphoretic, obtunded female not oriented to person, place, or time. Her GCS is 11. What do you suspect as the diagnosis? What should your first order be?

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