Diabetic Ketoacidosis: The Right Ingredients for Recovery
This article is the first of a series of three articles about managing adult patients with diabetic ketoacidosis (DKA). This patient population can be…
Tag: Critical Care
TikTok Toxicology
Since its North American debut in 2018, TikTok has dominated the teenage social media market. In 2022, a survey reported that 67% of American teenagers…
The Fallacy of “GCS <8 Intubate” and the Decision to Intubate
On the surface, these are not bad triggers for airway management, but they do not engage clinicians to evaluate the situation in its entirety. The ast…
Dialysis Disequilibrium Syndrome
Clinical Scenario: You respond as an ALS ambulance to a local dialysis center for a middle-aged male with altered mental status. Upon arrival, you find…
The 3P’s of Airway Management
Introduction It is not enough to merely be able to intubate; that is, perform the physical skill of instrumenting the airway and placing an endotracheal…
Do We Understand Oxygenation?
The Oxyhemoglobin Dissociation Curve can be confusing… However, it’s essential to understand oxygen physiology in critical care. Think of it as a “Manual for Dating.” In…
EDS in the ED
Overview A 27-year-old woman arrived at the emergency room late at night, her face crumpled in pain. She reported feeling sick this morning and vomiting,…
Alternative uses of EtCO2 in the pre-hospital and critical care settings
End-tidal capnography in clinical practice originated in the field of anesthesia around the 1950s but has also become established in the pre-hospital setting. EMS providers…