You are called to triage to assess a man for shortness of breath. Per EMS, this is a 46 year old male with a history of substance abuse and HTN, found by his wife this afternoon, overdosed on Heroin and barely breathing. EMS arrived on scen…
Your 29 year female patient arrives to Resus with a rapid heart rate of 215. Her blood pressure is 129/72. She appears pretty comfortable, however complains of mild shortness of breath and chest pain. She has no cardiac history and no previ…
On your busy resus shift you receive a EMS notification that a post arrest patient is en route, ETA 2 minutes. On arrival the patient is being actively bagged by EMS through an endotracheal tube placed in the field. He is hypotensive to 83/…
Is there any data behind renal hydration prior to CT to prevent contrast induced nephropathy? Or is it just a habit we picked up along the way and has no clinical benefit? The AMACING trial answers that question. Prophylactic Hydration to P…
On your busy overnight trauma shift at Elmhurst, you are the provider during a precipitous vaginal delivery in the trauma bay at 2am. The infant is delivered without complication, and your Pediatric colleagues give you APGAR’s of 8 an…
Rural Pearl- First time seizure You are back for you solo overnight shift at Rural General Hospital. At 2 am a new patient comes in with his fiance. He is a 25 year old male and the fiance says the patient had a “shaking episodes”…
Title: Prospective Validation of the San Francisco Syncope Rule to Predict patients With Serious Outcomes Article Citation: Quinn, J. et al “Prospective Validation of the San Francisco Syncope Rule to Predict patients With Serious Ou…
The 52 in 52 Review: The International Registry of Acute Aortic Dissection (IRAD) New Insights Into an Old Disease. Article Citation: Hagan PG et al. The International Registry of Acute Aortic Dissection (IRAD)New Insights Into an Old Dise…
You are once again working your solo overnight shift and Rural General Stand Alone Hospital. In the door walks a 33 yo G6P5 female with abdominal cramping who is 35 weeks pregnant. The labor and delivery service recently closed down and a…
You are working at Rural General Hospital, solo coverage overnight Patient is a 35yo male with no past medical history presents to the ED from home with the complaint of “something in my eye”, he reports blurry vision and seve…