This post explores metacarpal fractures with a focus on presentation and management.
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Metacarpal Fractures
Journal Review
Apneic Oxygenation in the ICU
Hypoxemia is the most common complication of endotracheal intubation in the critically ill and the strongest risk factor for periprocedural cardiac arrest and death. The traditional approach to avoiding desaturation during intubation is preoxygenation. However, in critically ill patients, acute physiologic abnormalities render preoxygenation less effective. Apneic oxygenation is the delivery of supplemental oxygen to the nasopharynx in the absence of ventilation.
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Acute Pancreatitis
This post explores the diagnosis and critical steps in the management of pancreatitis.
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Journal Review
Performance of the Ottawa Heart Failure Risk Score
In the United States, heart failure affects 5.7 million people. Acute heart failure exacerbation is a common ED presentation and 1 in 9 deaths in the US included heart failure as a contributing cause. Each year it contributes to more than 1 million hospitalizations, and while in the past almost all patients with acute heart failure exacerbations were admitted,
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Abdominal Cutaneous Nerve Entrapment Syndrome (ACNES)
This post explores an unusual and likely under-diagnosed condition.
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Journal Review
Angiotensin II for the Treatment of Vasodilatory Shock
ICU patients with vasodilatory shock continue to have a high mortality despite advancements in treatment. Maintaining blood pressure, and thus organ perfusion, is one key in management. Decreases in mean arterial pressure (MAP) can have serious complications including damage to the kidneys, heart, and brain. The human body has 3 sources of natural vasopressors –
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Journal Review
Effect of US on CPR Pauses in Cardiac Arrest
The provision of high-quality compressions with minimal interruptions is central to the management of cardiac arrest. Along with defibrillation, high-quality compressions are the only interventions proven to improve patient-oriented outcomes. Recently, point-of-care ultrasound (POCUS) has gained greater use in cardiac arrest care for determination the cause of arrest as well as guiding the resuscitation and interventions.
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Medial Collateral Ligament (MCL) Injuries
This post explores the presentation, diagnosis and management of MCL injuries.
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