Alyse Volino, MD

Critical Cases - Hypertensive Encephalopathy!

You receive a prehospital stroke alert from ALS for a 73 yo male found down, minimally responsive. "Pretty routine" you think as you listen to report from the paramedic...that is, until you hear the vital signs: "Blood pressure is 270 over 140." That's the highest blood pressure you've ever heard of and you immediately begin to worry about how the human brain can possibly tolerate this as you head to the resuscitation bay to assemble your team...

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Critically Appraised Topic: Operative vs. Non-operative Management of Humeral Shaft Fractures

Does surgical repair with internal fixation, as compared to nonoperative management with splinting/bracing, improve functional outcomes in patients with isolated closed humeral shaft fractures?

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