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"Voodoo Death": The Deadly Brain-Heart Syndrome

reduce risk of LV mural thrombus in apical involvement Prognosis: LVEF recovery takes 1-4 weeks BACK TO OUR PATIENT: Neuro exam gradually improved and the patients started following commands with…

PEA arrest- A new look at an old crisis!

…consequences and not causes of arrest, and others don’t readily apply to the inpatient population (I hope your patients don’t inadvertently become severely hypothermic!). Another way to remember the reversible…

Clinical Case: Pneumonia

…choice and is also helpful in evaluating for parenchymal complications. Empiric antibiotic therapy should include: Broad spectrum coverage for commonly implicated pathogens (ex: vancomycin, pseudomonal-dose piperacillin/tazobactam). ADD clindamycin or metronidazole…

Chyle- coming to a paracentesis near you!

…Pancreatitis is becoming a common cause of CA due to both compression of lymphatic channels and direct damage by pancreatic enzymes Said A. Chylous Ascites: Evaluation and Management Pathophysiology based…

IHD vs. CRRT in Acute Lithium Toxicity

…(water soluble, such as atenolol) Lithium Ethylene glycol Lithium pharmacokinetics follow a two compartment model [active drug found in both intra- & extracellular compartment] Central compartment: Highly perfused tissues (e.g….

Bioterrorism and the ICU: Fear, Threats, and Reality

…Initiate Treatment: when able, post-exposure prophylaxis (PEP) Emergency Management: often the “terror” of the attack is more destructive then those actually effected Class A Agents Anthrax: easy to acquire, easy

Extracorporeal Liver Support

A 17 yo woman is admitted to the ICU with fulminant liver failure due to Wilson’s disease; her course is complicated by encephalopathy, renal failure, and circulatory collapse despite maximal…

Ventricular Arrhythmias in the LVAD Patient

…episode of a wide-complex tachycardia. The patient denies chest pain, shortness or breath, nausea or recent vomiting. He initially came to the emergency department because his LVAD control box was…

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