Casey M. Clements, MD, PhD. @CaseyClmnts. Assistant Professor Emergency Medicine Does my patient have Ebola? Are you serious ?!?! Electron micrograph of a filovirus: Ebola *Image used from the Public Health Image Library, Centers for Disease Control (http://phil.cdc.gov)
By Damian Baalmann, M.D. Reviewed by Sara Hocker, M.D. Myasthenia Crisis A 34 year-old male presents to your emergency department in moderate respiratory distress. He is conscious and as the nurses are hooking up monitors, you are able to obtain a history of recent sore throat, followed by increasing weakness in his extremities with progressive dyspnea on exertion. Several years ago, the patient underwent a thymectomy and has since been maintained on prednisone 30-mg/day and pyridostigmine 60-mg Q4H. Vitals: pulse 112, blood pressure 110/80 mmHg and respiratory rate of 26/min. His oxygen saturation is 87% on room air. What are your next steps in management?
Presented at Joint Trauma Conference on June 17, 2014. Mayo Clinic, Rochester MN. Authors: Elizabeth Walter, Amy O'Neill and Masashi Okubo Reviewed by: Kharmene Sunga and Daniel Cabrera.
DISCLAIMER: This is not FDA nor manufacturers approved or endorsed. This is only to serve as a last resort measure for medical professionals in case of needing to use epinephrine while away from medical centers or providers. https://www.youtube.com/watch?v=EJnjek07iKY
"Emergencies and How to Treat Them" by Joseph H. Howe. New York 1871 Click image for a pdf copy.
PERC (Pulmonary Embolism Rule-Out Criteria) is a set of criteria established for patients with chest pain or dyspnea in outpatient settings (ie. primary care settings or emergency departments).
Although not FDA approved (except for metrorrhagia) in the US; there is increasing evidence of its topical use as an adjunct for anterior packing or even as only.
Notes from Ben Sandefur Grand Rounds "The hypotensive and bradycardic patient" By Damian Baalmann, M.D. Broad Differential for Hypotensive + Bradycardic Patient
We need to make medical education more similar to a LEGO than to a textbook like Harrison’s.