“Trust, but verify” -Ronald Reagan Why would you need ultrasound for tube confirmation? You can confirm placement with direct visualization (sometimes video laryngoscopy), use end tidal CO2, look for color change on colorimetric capnography, listen for bilateral breath sounds, check pulse oximetry, and look for fogging in the tube. In most cases, these methods […]
Keeping Myxedema Coma in the Mix: Is Hypothyroidism in Your Differential?
Posted onMyxedema coma, or severe hypothyroidism, is an emergent condition with a high mortality rate (30-60%). Our patients rely on us to catch it early and treat aggressively. About 90% of cases occur during the winter months, and it is rarely seen in patients younger than 60. Causes: Myxedema coma is usually precipitated by another […]