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Intern Diagnostics: Corneal Pathology
The cornea is the window to the soul and/or retina. Given this importance it is a critical aspect of Emergency Care and why you should join Dr. Carroll on a dive into corneal pathologies you need to know.
When Lung-Protective Ventilation Isn’t Brain-Protective? A Look at the PROLABI Trial
Lung-protective ventilation (LPV), characterized by low tidal volumes and appropriate PEEP, is a cornerstone in managing patients with acute respiratory distress syndrome (ARDS). However, its application in patients with severe acute brain injury raises concerns. The potential for lung protective ventilation to increase intracranial pressure due to hypercapnia and elevated PEEP levels necessitates a closer examination of its safety and efficacy in this unique patient population.
Is Old Age a Reason to Scan a Cervical Spine?
Many clinical decision rules exclude elderly patients from the derivation cohorts. So the question remains unanswered do all elderly patients need cervical spine CTs in the setting of trauma? What if they have no symptoms? This recap of a journal club article explores the incidence of significant cervical spine fractures in elderly patients.