Emergency Medicine
- When should brain imaging precede lumbar puncture in cases of suspected bacterial meningitis?
Few patients need it. Empiric antibiotic and corticosteroid therapy must not be delayed.
- Man’s best friend, fatal in the end
A dog bite in a patient without a spleen can have serious consequences.
- In Reply: Acid-base disturbances January 2017
Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).
- Acid-base disturbances January 2017
Readers comment on caring for international patients (November 2016) and on acid-base disorders (January 2017).
- Bleeding esophageal varices: Who should receive a shunt?
A transjugular intrahepatic portosystemic shunt can prevent repeated variceal bleeding and control refractory ascites.
- Altered mental status and an acid-base disturbance January 2017
Errors occurred in: Mani S, Rutecki GW. A patient with altered mental status and an acid-base disturbance. Cleve Clin J Med 2017; 84:27–34.
- Imaging suggestive, but symptoms atypical
Pseudosubarachnoid hemorrhage is an artifact of CT imaging.
- A patient with altered mental status and an acid-base disturbance
Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.
- Confusion and hypercalcemia in an 80-year-old man
His total serum calcium level is 14.4 mg/dL. What is the cause?
- Cardiogenic shock: From ECMO to Impella and beyond
Several devices can serve as a bridge to recovery, transplant, or a long-term device.