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the County Consult

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

Figure 1. Still image of B-lines on pulmonary POCUS.

Critical Care Pearls - Sympathetic Crashing Acute Pulmonary Edema

November 22, 2023

The Case:

A 55-year-old female with a past medical history of hypertension, end-stage renal disease (ESRD) on hemodialysis, insomnia, depression, and opioid use disorder presents with rapidly worsening dyspnea that began several hours prior to arrival. She endorses an associated cough productive of clear sputum and admits to inhalation opioid use the day prior. She most recently received hemodialysis two days earlier and has not missed any sessions recently.

Michael Dorritie, DO

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In Critical Care, Cardiology Tags Critical Care, Cardiology
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October Journal Club

November 19, 2023

The Cook County EM Residency strives to teach both fundamentals with practice-changing research. Our journal club is split between senior and junior residents, and here you will see the articles discussed at our October journal club. The topics include the evaluation of AMI for juniors and the evaluation of critical illness in pediatric patients for Seniors.

Jose Reyes, MD

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Source: Image by jannoon028 on Freepik

The Cheese - Review of Antiarrhythmics in Shockable Rhythm Cardiac Arrest

November 15, 2023

This week’s cheese post will review recent literature that examines the role of antiarrhythmic medications in shockable cardiac arrest. Although algorithmic, these data may suggest some nuance in your approach to the management of shockable rhythms can improve your chances of obtaining ROSC.

Vladimir Bernstein, MD

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In Cardiology, Critical Care Tags Cardiology, Critical Care
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