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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Pharm & Cheese: A Shocking Case

November 19, 2025

We start this lovely Wednesday with EMS bringing in a 70-year-old man who just had a v-fib/v-tach arrest. After 5 rounds of CPR, 4 shocks, and 3 doses of epi, they’ve got him back! You prep airway equipment and the ultrasound, and in a few minutes, the patient arrives. 

Samson Frendo MD and Eric Leser MD

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In Cardiology, Critical Care Tags Critical Care, Cardiology
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Pharm & Cheese: Neffy

October 7, 2025

Clinical Question:  How does Neffy (epinephrine nasal spray) compare to the Epinephrine autoinjectors? 

Joanne Routsolias, PharmD

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In Pharmacology Tags Critical Care, Pharmocology
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MS4 Infographic - Pulmonary Embolism Management and Disposition

March 6, 2024

We frequently discuss and teach the diagnostic algorithm for the evaluation of pulmonary embolism (PE). Beyond that, many learners will treat patients as either sick or not sick. In reality, the nuances of the middle ground can be the differences between life and death. Here, we discuss the evaluation and management of PEs in the ED.

Josué Rodriguez, MS4

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In Pulmonary Tags Critical Care, Pulmonary
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