Em Pearl, 5/7/12

Courtesy of Jen Galjour. 28M presents obtunded. EMS reports open bottle of antifreeze next to patient on scene. Initial vitals are 98.0 130  90s/50s 37  96%.  Super stat shows pH 6.8, HCO3 8, lactate 12.  Patient is swiftly intubated. You i…

Thermal Index

What does the TI on the sidebar of the ultrasound display stand for? Thermal Index (TI) is a biosafety metric used to describe the potential of the ultrasound beam to raise temperature in the path of the beam. It is the ratio of the power u…

Daily Em Pearl, 5/6/12

A middle aged male p/w L-great toe pain for 3days, unresponsive to acetaminophen and ibuprofen. He denies fever or other complicating sx. On exam, the medial aspect of the L-great toe is erythematous w/TTP. No areas of fluctuance are apprec…

May 2012
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