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When Lung-Protective Ventilation Isn’t Brain-Protective? A Look at the PROLABI Trial
Grand Rounds, Journal Club Jeffery Hill, MD M.Ed Grand Rounds, Journal Club Jeffery Hill, MD M.Ed

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.

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Intimate Partner Violence: A Primer for Emergency Medicine Practitioners
Electives Jeffery Hill, MD M.Ed Electives Jeffery Hill, MD M.Ed

Intimate Partner Violence: A Primer for Emergency Medicine Practitioners

Intimate partner violence (IPV) is a widespread public health problem. By definition, IPV refers to actual or threatened psychological, physical, or sexual harm by a current or former partner or spouse. The exact scope of the issue is difficult to ascertain given that a large proportion of incidents go unreported but is estimated to affect over 12 million people in the United States every year. The Emergency Department often serves as a first point of contact for survivors of intimate partner violence. Studies have shown that women experiencing intimate partner violence are more likely to seek medical care than to seek assistance from social services or criminal justice agencies, and it is estimated that approximately 6% of patients presenting to the Emergency Department have experienced IPV within the past year.

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