Before placementof your Sengstaken-Blakemore tube, your patient should be intubated to prevent aspiration. As this is only a temporizing measure, other services (GI, ICU, Maybe IR) should be notified and start mobilizing for definitive mana…
The Case: A 50 year old male presents to the emergency room with complaints of shortness of breath. He appears altered, and is not able to provide more history. There is no collateral information available in his chart. Labs reveal a glucose of 300, lactic acid > 15, ph 6.9, + anion gap. Patient is [...]
Agents that Can Precipitate Serotonin Syndrome Cocaine MDMA Tramadol Cyclobenzaprine Dextromethorphan St. John’s Wort MAOI Fentanyl Treatment for serotonin syndrome involves supportive care, discontinuing the offending agent, and prov…
