Auna Leatham's (PGY3) Senior Grand Rounds.
Genine Siciliano's (PGY3) Senior Grand Rounds.
Stepwise Approach w/ interpretations found below. You won’t need to look anywhere else unless you want to do the Stewart Acid Base Approach.
Andrew Fredericks, PGY1, discusses acid/base distirbances at EMDocs.net.http://www.emdocs.net/crush-abgs/
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See Dr. Neal's (PGY3) write-up for WikEM here: http://www.wikem.org/wiki/Hydrogen_Sulfide.
See Dr. Caraballo's (PGY2) write-up for WikEM here: http://www.wikem.org/wiki/Balantidiasis.
See Dr. Phipps' (PGY1) write-up for WikEM here: http://www.wikem.org/wiki/Septic_abortion.
Approx 45 year old male with unknown PMH while in the back of a police car patient states he swallowed a large amount of cocaine and may need to go to the hospital. Patient had witnessed tonic-clonic seizure activity and given 2mg IV lorazepam by EMS en route.
Pt presents to the ED unresponsive. Airway is intact but patient is taking shallow respirations without response to painful stimuli. Nasopharyngeal airway was placed, patient oxygenated and ventilated with BVM and intubated.
HR 140s, BP: 150/57, RR: 12, T: 36.8, Glucose: 137
Why is it important to aggressively and appropriately manage rib fractures in elderly trauma patients?
Brandon Morshedi (PGY1) answer this question here: http://www.emdocs.net/rib-fractures-elderly/