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Annals of B-Pod: Hereditary Angioedema
There are not many universal, unequivocal truths in medicine, but we can mostly agree that breathing is pretty important. It follows that diseases, injuries, or illnesses that interfere with our airways are problematic. Hereditary angioedema is a uniquely terrifying pathology in which the body’s inflammatory system is aberrantly activated, leading to swelling and collapse of a patient’s larynx. In this case, Dr. Shaw walks us through a presentation and management of a patient with hereditary angioedema in the emergency department.
Grand Rounds Recap 11.14.18
We had a great Grand Rounds line-up this week - Dr. Whitford started us off with a challenging case of altered mental status that took a variety of twists and turns highlighting the need for reassessment flexibility in your differential diagnosis in the critically ill patient. Next up was Dr. Koehler and Dr. Betz who led us through a case of septic arthritis which presented atypically as altered mental status. Dr. Edmunds then provided us with emergency presentations of pediatric vomiting. Lastly, we closed the day with Dr. Roblee’s excellent case-based discussion on the evaluation and management of hypertension in pregnancy.
Air Care Series: Burns Management
Severely burned patients can be intimidating for even the most seasoned critical care transport providers. These patients often require aggressive resuscitation and multiple procedures in a relatively short period of time. It is often easy for providers to become overwhelmed, necessitating an algorithmic approach to the patient, similar to traumatically injured patients, is crucial. By advancing through the primary survey and stabilizing the patient while starting aggressive but goal directed crystalloid resuscitation, critical care transport providers can bring ICU level care to one of the sickest pre-hospital patient populations.