Patients presenting to the ED with critical illness may require transfer to a different hospital for a higher level of care or for services unavailable locally. Here are some considerations to be made when tansferring a critically ill patient.
Hyponatremia is a commonly encountered clinical problem in both the emergency department and ICU settings. The differential diagnosis can be vexing but is critical to initiation of the correct treatment. Read on for a brief clinicall vignette addressing this dilemma
The Cooper EM Residency recently hosted a spirited debate on the topic of administering thromblytic therapy during cardiac arrest. Drs. Byrne and Roberts faced off in a duel for the ages! Read on to see the results of the largest randomized controlled trial the "TROICA" study and to see the winner (and loser)!
A continuation of the massive hemoptysis case from last week. The patient was intubated and ROSC was obtained. Chest X-Ray showed a large cavitary lesion on the left side. On mechanical ventilation, lung protective strategy was used and despite increasing PEEP the patient's SaO2 ranged from 60-79%.
48M arrives in the passenger seat of wifes car coughing up a large amount of blood. He is very pale appearing, his pulse becomes thready and the patient starts to become unresponsive. Wife tells you he has a history of AML and is being treated with Amphotericin B for an Aspergilloma. The patient arrives to the resuscitation room in cardiac arrest.
You are responding to a cardiac arrest and the patient has achieved return of spontaneous circulation however his blood pressure drops to 68/40 mmHg. You would like to use push dose epinephrine. How is this prepared?