Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Noninvasive Ventilation Part 2 Remember our 60 yo male with COPD who has been on NIV for about an hour, he was looking a little less sick, let’s check back in with him. (If you missed the last post click here) Our initial settings for the BiPAP: rate 8,

Weekly Wellness

Weekly Wellness 6/24/2017

“Everything that is past is either a learning experience to grow on, a beautiful memory to reflect on, or a motivating factor to act upon.” – Denis Waitley I apologize in advance that this Weekly Wellness is personal to me. But I as finished my last shift at Mercy Hospital this week, knowing that after

EM/IM Sessions

EM/IM Sessions: ED Management of Febrile Neutropenia

ED Management of Patients with Febrile Neutropenia: Guideline Concordant or Overly Aggressive? Baugh CW, Wang TJ, Caterino JM, et al.  Academic Emergency Medicine. 2017;24(1):83-91 [paper] Why I chose this article? It’s always interesting to find something that is practice changing, reasonable, and not commonly done. This fits the bill. I was always taught to admit febrile

Knowledge Bomb

Knowledge Bomb! ‘Step-by-Step’ Approach to Treating Febrile Infants

We continue on with the series with Knowledge Bomb #12. The purpose and motivation for this series is outlined in the first entry and extensively in an ALiEM IDEA series blog entry. Background Infants less than 3 months old presenting to the ED with a fever can be a true emergency, as this patient population is

Weekly Wellness

Weekly Wellness 6/17/2017

“Working hard on something we don’t care about is called stress. Working hard on something we care about is called passion” – Simon Sinek As we transition into a new residency year, it may be a good time to reflect on where we are focusing our energies. Have you had time to think about what


Inconceivable: Urinary Tract Infection

Chapter 11 – “Urinary Tract Infection” Welcome to the eleventh installment of “Inconceivable: medical terms that don’t mean what you think they mean.” You are taking care of an alert and oriented 80-year-old woman who presented to your ED from an assisted living facility. She reports a few days of weakness and poor appetite, but

Weekly Wellness

Weekly Wellness 6/12/2017

You can choose what kind of day you want to have. Have you ever walked into a shift and heard someone say “just turn around now” because it’s so busy? Or you look at the schedule and see that you’re working with people you don’t always mesh with? Or maybe something’s not going great your