ICU Guide for the Non-ICU Provider
This guide was created to help assist ED providers being pulled to help in ICUs during the COVID pandemic. The majority of the information here is applicable to general ICU care however some is specific to COVID. The last section in the document serves as a summary and daily checklist. A PDF daily rounding checklist […]
Emergency Medicine COVID Updates
The following is a summary of what I have learned from seeing COVID patients on the floor, in the ICU, and reading of the literature that may help with our acute ED management. TLDR summary is at the end if you can’t read through each bullet point. Updates 3/29 – Added section on HFNC (#2 […]
POCUS FTW DX HTP
HTP?! 1 in a… ok, not near a million, but still. The Bleeding Pregnant Patient P. Schmalbach, MD, PhD, E. Mizrachi, MH Raj, J. Reisner D. Dexeus, M. Richman Case A 25-year-old female G6P3A2 with LMP 6 weeks before arrival initially presented to the Emergency Department (ED) complaining of heavy vaginal bleeding, abdominal […]
Tamponade or No Tamponade: That is the question
Case An 87 year old female with a past medical history of untreated metastatic thyroid cancer presented with two weeks of gradually worsening anasarca, dyspnea, orthopnea and fatigue. Her ability to complete her activities of daily living had significantly decreased over this time. Her physical exam was significant for bilateral lung crackles, diminished heart […]
I’d Cath That!
In the post-STEMI world, we talk about “occlusions.” So rather than argue about how many mm of STE there are, we say there are signs of ischemia suggestive of occlusion. Instead of having the troponin turn positive, shrugging and calling it an “NSTEMI,” we’d rather go look at the EKG for signs of the […]
Dr. Rezette Dent says she’s “hypoglycemic?”
Dr. Rezette Dent is having a tough shift. As an intern, it’s hard…
