Inconceivable: Fever of Unknown Origin

Chapter 4 – “Fever of Unknown Origin” Welcome to the fourth installment of “Inconceivable: medical terms that don’t mean what you think they mean.” You are taking care of a patient sent in from his PCP to be admitted for an intermittent fever for the past two weeks. He has no localizing infectious symptoms, he is

EM/IM Sessions

Journal Club – Treating Fever in the ICU – HEAT Trial Discussion

Interest Nurses, families, and consultants often request that we treat our patients’ fevers. We often reflexively answer, “Yeah, sure, give ’em a gram of acetaminophen, why not.” Occasionally we might take the high road, instead replying “Why would I blunt the body’s response to infection, let it fight!” Is there a benefit to calming the inflammatory response


High Yield for the Field (HYFTF) 1.7.16 – By Dr. John Purakal

A new year brings a new HYFTF! In this episode, Dr. Purakal reviews talks by Dr. Eric Krueger (Derm review), Dr. George Hughes-Strange (CHF Overview) and a journal club presentation of his own on The Heart Score.


High Yield for the Field (HYFTF) Conference Pearls 12/3/15

  This week’s episode presented by Dr. John Purakal covers Dr. Laura Kwoh’s M&M presentation on Foreign Body Aspiration in the Pediatric Patient. Also, be sure to check out guest lecturer and UIC EM Alumnus Dr. Eashwar Chandrasekaran on Prognositication in the ED below! Link to Eashwar’s Lecture:

Knowledge Bomb

Knowledge Bomb! – Apneic Oxygenation during Intubation

Article Randomized Trial of Apneic Oxygenation during Endotracheal Intubation of the Critically Ill. Why!? Airway management is a cornerstone of emergency medicine and critical care medicine. Patients who require either aggressive oxygenation or airway protection (and to a lesser extent, others with indications for endotracheal intubation) are at risk for hypoxia during Efforts Securing A


Inconceivable: Pseudohyponatremia

Chapter 3 – “Pseudohyponatremia” Welcome to the third installment of “Inconceivable: medical terms that don’t mean what you think they mean.” For an introduction to this series, check out Chapter 1. You have a patient with IDDM managed with an insulin pump that malfunctioned overnight. She presents with signs and symptoms of DKA. You’ve already started


High Yield for the Field (HYFTF) 11/25/15

Presented by John Purakal MD, PGY-2. This week’s episode covers pearls from our last conference including reading head CT’s, anticoagulation reversal and severe pediatric asthma exacerbations. Enjoy!