work of breathing

All of this discussion hinges on understanding the origins of air FLOW. A pressure differential or gradient is the key requirement. Tachypnea is the expected response to lung inflammation that produces stimulation of irritant, stretch, and…

bicarbonate revisited

Previous post reviewed the safety of balanced crystalloids in hyper K. But what was up with serum bicarbonate decreasing with saline administration? This post introduces a new way of looking at the anion gap to possibly answer this phenomen…

Reach for the COWS

Your patient in intake is miserable. Doubled over, complaining of pain everywhere, sweating, ill-appearing but not unstable. He tells you that the last time he used heroin was two nights ago, and he is asking for help. How do you treat this…

Meet the newest member of your team

We have a new resource in the Sinai ED. Say hello to your friendly ED pharmacist. In the past several years, the ED pharmacy has been centralized in a non-ED location. We all know well these faceless interactions with a human reminding you…

March 2024
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