Tamingthesru
Global Health Case Files #2
Imagine: you are the single provider manning a rural clinic in Northern Tanzania along the shore of Lake Victoria. You are one of only a handful of physicians in the entire region and you have minimal access to diagnostics or therapeutics. Your clinic does not have any power. Your diagnostics include: urinalysis, urine pregnancy, CBC and rapid tests for HIV, syphilis, and malaria. You have 2 nurses, one of whom acts as a translator (from Swahili to English). You are armed primarily with your intellect, knowledge of local disease processes, and your keen sense of intuition.
Case #5
32 yo M PMH HIV p/w LLE >RLE swelling & pain x 1 year. Recent HIV+ and recently started ARVs. CD4=40. Pt denies trauma. No history of DM or CHF. No fevers, chills, N/V, abd pain, diarrhea.
PE: 37CHR-86BP-124/82RR-12
Not Your Typical REBOA Podcast...
This is not your typical REBOA podcast. This is a discussion on logistics. This podcast is all about issues that flight teams or critical care transport teams need to consider when transporting a patient who has a REBOA place.
Grand Rounds Recap 10/14
Simulation with Dr. Hill
Case 1: 45 yo male comes to the ED after being found down at the mall s/p defib x2 for a V fib arrest per EMS with a King Airway in place and undergoing active CPR. In the ED you achieve ROSC after defib x1 for Vfib and then PEA with multiple arounds of epinephrine. EKG shows inferior STEMI.
Case 2: EMS calls with advanced noticed for GI bleed presents tachycardic and hypotensive, actively bleeding with melanotic stool and hematemesis.