A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
You’re sitting by the EMS radio when a call comes in: 56 y/o male with no reported PMHx presenting with facial swelling that started earlier this morning. His lips are so swollen that he’s having some trouble controlling his secretions. He received epinephrine and diphenhydramine en route without too much improvement.
Nanditha Ravichandran MD and Eric Leser MD
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Clinical Question: Mannitol Use in the ED – How to dose and Where it Is Kept?
Mariam Isa, PharmD and Joanne Routsolias, ED Clinical PharmD
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Figure 1. Initial arrhythmia detected on telemetry
A 74 year old male with history of STEMI s/p PCI with DES of LAD and RI, HFrEF (EF 20-25%), sick sinus syndrome s/p DC-PPM, atrial flutter, hypertension, insulin-dependent diabetes, severe PAD s/p right IR SFA stent, and pancreatic insufficiency presenting for hypotension from general surgery clinic. The patient is brought to the resuscitation bay and while you are waiting for your work-up the monitor alarms and shows the following (Figure 1).
Michael Hohl MD and Ari Edelheit MD
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