- Written by Ethan Abbott
A 75 yo male with a PMH of HTN, HLD, DM, and PVD presents to the SBH emergency department with slurred speech and right sided weakness x 2 hours. He is awake and alert on arrival with a glucose of 122. The patient undergoes a non-contrast CT of the brain which is unremarkable. In consultation …
- Written by Ethan Abbott
Toxicology Literature of Note Ketamine for everyone, when used with Ativan Severe alcohol withdrawal can be complex and difficult to treat, especially when the patient is resistant to BZD. The follow study looks at the use of ketamine as an adjunct to lorazepam for patients admitted to the ICU for ETOH withdrawal. As ketamine is …
- Written by Jakub Bartnik
EMS calls ahead for a 35 year old male found altered and hypoxic in his apartment. Upon arrival, you note he is febrile, hypotensive, hypoxic on 100% oxygen to a spO2 of 70%. You decide to intubate after initiating fluid resuscitation, pressor support, and broad spectrum antibiotics. Your differential is broad and includes pulmonary embolism, pneumothorax, sepsis/pneumonia. …