The bleeding tracheostomy
On another shift, the 45 year old man with a tracheostomy from the prior case is brought back into the emergency room. This time, he is actively bleeding from his tracheostomy site... My approach G...
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resuscitation
Respiratory distress in the patient with a tracheostomy
A 45 year old man, well known to your department because of a prior anoxic brain injury and multiple complications including a permanent tracheostomy, is brought in by ambulance from home in respir...
Read ItA general approach to resuscitation
The objective of First10EM is to review specific emergency medicine scenarios that require urgent action, allow little time for thought, and therefore benefit from a pre-thought out plan. However, ...
Read ItCardiac arrest in pregnancy: the perimortem cesarean section
The bat phone rings, and through the static of the EMS patch, you hear that they are 2 minutes out with a 36-year-old woman in PEA, but you couldn't hear that last bit. After 3 more attempts (maybe...
Read ItLVADs: Trouble shooting left ventricular assist devices in the emergency department
A 74 year old man is brought into the resus room at your community hospital. He has an altered level of consciousness, but is still rousable. EMS is quite concerned because he doesn't have a pulse....
Read ItVP shunt malfunction
A 4 year old presented to the ED with a mild headache, nausea, and vomiting, and was triaged to the sub-acute area of the department. You are called to the room stat, as the child is now unresponsi...
Read ItUndifferentiated hypotension
"Doctor to resus 2, stat", and you just stepped into the department. There hasn't even been time for a sip of coffee or a washroom break after the commute in. In the resus room, you are greeted wit...
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