The Hennepin Regional Poison Center have published a case series of asystolic cardiac arrest after treatment with intralipid. The authors readily acknowledge the difficulty of assigning causality, and caution against dramatic practice changes.
Diagnosis of the poisoned patient can often be accomplished before toxicologic laboratory tests by obtaining a detailed history and directed physical exam. In this second of three articles, we will examine the toxicology clues revealed by the skin.
Diagnosis of the poisoned patient can often be accomplished before toxicologic laboratory tests by obtaining a detailed history and directed physical exam. In this first of three articles, we will examine the toxicology clues that can be found in eyes, hair, nails, and tongue.
79-year-old women has severe aortic stenosis and 2-vessel coronary artery disease s/p coronary artery bypass graft who developed acute dyspnea. She was found to have chronic occlusion of her vein graft and acute thrombosis of her subclavian artery, causing diffuse cardiac ischemia and myonecrosis.
A frustrating type of difficult intubation occurs when you are able to cannulate the trachea, but are unable to pass the endotracheal tube. This case is of a patient who had a decannulated tracheostomy and developed subglottic tracheal stenosis.
Glucagon Emergency Kit is an an injectable form of glucagon available for treatment of hypoglycemia, beta-blocker overdose, calcium channel overdose, or impacted food bolus. Knowing how to preparation the Glucagon Emergency Kit is time critical knowledge in the ED.
The pain of pressure or bumping an swollen inflamed olecranon bursitis is often quite severe. A foam elbow pad can prevent direct impact and avoid causing additional pain. This how-to tutorial will show you how to make one from materials around your department.
Over-wedging of a pulmonary artery catheter can lead to pulmonary artery rupture. This can be caused by an eccentric wedge, which traps the catheter tip against the vessel wall causing fluid to build up increasing the pressure in the trapped cavity.
Transient vagal stimulation from the removal of the CVC and carotid massage from holding pressure to achieve hemostasis can lead to excessive vagal tone which caused blockage of the AV node leading to transient asystole cardiac arrest.
EMS and emergency physicians responding to bombs and explosions need to understand the unique patterns of injuries and key concepts of emergency care including mechanisms, evaluation, and initial treatments based on Disaster Medicine best practices.
There are congenital variations from the normal coronary artery anatomy that have significant clinical importance. There are many permutations of the origin site and course of the three primary coronary arteries (left anterior descending, left circumflex, and right coronary artery). The most clinical significant variations include: Single coronary artery originating either from the left or right sinus of Valsalva. Left main coronary artery or LAD originating from the right sinus of Valsalva.
Sometimes imaging can reveal remarkable physiology. A 40-year-old man presented with profound fatigue and abdominal pain that had begun the day before but substantially worsened over the last 12 hours. He reported not experiencing any chest pain, shortness of breath, nausea/vomiting. He was hypotensive, systolic blood pressure in 90s mmHg, and tachycardia at 105-110 bpm. He appeared premorbid on initial assessment. Electrocardiogram was bland with only non-specific ST-segment and T-wave chang