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Let’s consider Inborn Errors of Metabolism Presenting in the ED : Inborn Errors of Metabolism: Basics Common Presentations, Uncommon Kiddos For the child with lethargy, vomiting, acidosis, hypoglycemia , organomegaly, or cardiopulmonary arrest remember to consider Inborn Errors of Metabolism (IEM) on your DDx. Samantha A.
Hosts: Joe Offenbacher, MD Audrey Bree Tse, MD [link] Download Leave a Comment Tags: Anticoagulation , CriticalCare , Resuscitation Show Notes Coagulation Cascade: Algorithm for Anticoagulated Bleeding Patient in the ED: Indications for Anticoagulation Reversal: References: Baugh CW, Levine M, Cornutt D, et al.
Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of CriticalCare Medicine at Mayo Clinic Arizona. Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults. Early work suggested potential harm from 0.9%
Welcome back to the tasty morsels of criticalcare podcast. Last time i was butchering my way through a diagnostic approach to hyponatraemia, particularly the forms likely to end up in the criticalcare end of the hospital. Older person presents to the ED after being unwell for several weeks.
Welcome back to the tasty morsels of criticalcare podcast. We’ll often find 1 or 2 of these in our high dependency unit at any given time, mainly due to the requirement for frequent testing of Na levels that seems beyond the remit of normal ward level care. You should then check the lipids and the protein.
It is commonly missed during the first few ED visits. First line therapies for anti-NMBDA receptor encephalitis consists of… High dose steroids , IVIG, and PLEX – Therapeutic plasma exchange Only 50% of patient’s respond, and will require second line therapies such as Rituximab. Moral of the Morsel It’s NOT always psych!
Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial. Casey Parker is a Rural Generalist that includes in his practice emergency medicine, anaesthesia and criticalcare. What do you advise him?
Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Consultant in the Department of CriticalCare Medicine at Mayo Clinic Arizona. Many critically ill patients receive intravenous crystalloids for volume expansion as part of their resuscitation. Reference: Zampieri et al.
Welcome back to the tasty morsels of criticalcare podcast. Read More » Welcome back to the tasty morsels of criticalcare podcast. Not so much for the patient but it’s one of those ones that is niche enough to not have been picked up via the usual filters of ED, medical team to the ward.
Here is his ED ECG: There is obvious infero-posterior STEMI. Internal potassium balance and the control of the plasma potassium concentration. Crit Care Med. 1991 May;19(5):694-9 Objective: To evaluate the efficacy and safety of potassium replacement infusions in critically ill patients. He appeared to be in shock.
Moreover, LTOWB also allows us to administer platelets and plasma, in addition to red cells, to promote clotting and homeostasis. If you don't have access to LTOWB and are administering component therapies such as PRBCs or plasma, this is still incredible and I highly encourage it! Linden JV, Bianco C, eds. Transfusion.
Fresh frozen plasma, or FFP, should only be given to cirrhotic patients as part of the massive transfusion protocol in cases of profound hypotension, as “patients with cirrhosis rarely have true enzymatic hypocoagulability, and FFP may worsen bleeding due to over-resuscitation and dilution of coagulation factors.” 6 Balloon tamponade (i.e.,
Welcome back to the tasty morsels of criticalcare podcast. A meandering monologue through criticalcare fellowship exam preparation. Read More » Welcome back to the tasty morsels of criticalcare podcast. A meandering monologue through criticalcare fellowship exam preparation.
A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. If available, an in-house ED pharmacist is an incredible resource for guidance when there are questions regarding pharmacologic management.
Later phase : As plasma levels fall, vasoconstriction decreases. This makes it a valuable adjunct in multimodal sedation and analgesia strategies, particularly in paediatric criticalcare and procedural sedation. How is Dexmedetomidine used in the ED? Dexmed then reduces sympathetic outflow, which can lead to hypotension.
While this guide isnt exhaustive, its designed by residents, for residents, to provide practical tips and foundational knowledge thats crucial in the fast-paced, high-stakes environment of the ED. Introduction Airway management is a criticalED skill to master. Figure 7: (modified from Tanoubi 2009).
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