A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index ECG.
A 41-year-old male with no reported past medical history presents to the emergency department (ED) with one week of cough, dyspnea on exertion, palpitations, and exertional chest pain. Initial vital signs are all within normal limits. An index ECG is obtained and brought immediately to the emergency physician for review (Figure 1).
Taylor Wahrenbrock, MD; Michael Hohl, MD; Ari Edelheit, MD
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Figure 1. Index ECG.
A 60-year-old male with a past medical history of hypertension, coronary artery disease status post stenting of the left anterior descending (LAD) artery and right coronary artery (RCA) in 2023 presents to the emergency department (ED) with a chief complaint of left-sided chest pain that started one hour prior to arrival.
Michael Hohl, MD; Taylor Wahrenbrock, MD; Ari Edelheit, MD
Read MoreWhen intubating patients with anatomically or physiologically challenging airways, first-pass success is of utmost importance to minimize procedural complications (1). According to the INTUBE trial, two or more attempts at intubation were associated with an increased risk for major adverse events (2). Specifically, the risk of severe hypoxemia increased from 5% on the first pass to 20% on the second pass and 30% on the third pass. Let’s examine whether the bougie may be a useful adjunct to improve first-pass success in the Emergency Department (ED) and potentially minimize the risk of severe hypoxemia and other adverse events.
Kathryn McGregor, MD; Taylor Wahrenbrock, MD; and Eric Leser, MD
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