Lung-protective mechanical ventilation with low tidal volume and restricted plateau pressure improves survival in ARDS. However, the optimal approach to PEEP titration to minimize VILI is still debated. Should oxygenation, lung compliance, driving pressure or transpulmonary pressure guide adjustment of PEEP in ARDS?
Read moreSubmitted by Emily Damuth, MD
Clinical Question: Are benzodiazepines a more effective form of sedation in an acutely agitated patient in the Emergency Department compared to antipsychotics?
Read moreSubmitted by Eric Chavis, MD
A 76 yo female presents after a fall.
Read moreSubmitted by Katie Selman, MD
Here are 10 fast facts for managing lithium toxicity in the ED setting.
Read moreSubmitted by Lynn Manganiello, DO
While your friends at home are shivering in the Camden, NJ winter, you are on an elective retrieval medicine rotation in New South Wales, Australia. A 32 year old patient arrives in a rural emergency department obtunded. His friends state he was out hiking and may have used some cocaine as well. His initial vital signs are notable for hypotension and a core temperature of 41.5C (106.7F). There are no fans available for evaporative cooling and no gel adhesive body temperature controlling devices (such as those used following cadiac arrest). The patient requires intubation which is done uneventfully, the staff asks what tools you might use to rapidly reduce the body temperature.
Read moreSubmitted by Lars-Kristofer Peterson, MD
Chief Resident Dr. Katie Selman breaks down the differential diagnosis for your vaginal bleeding patients
Read moreSubmitted by Katie Selman, MD
70 yo F presents to the ED with right arm pain.
Read moreSubmitted by Loran Hatch, DO
Postpartum hemorrhage is the leading cause of maternal death worldwide. Here is a great review for management by the ED doc by Stacy Marshall, MD.
Read moreSubmitted by Stacy Marshall, MD