In residency, I spent a great deal of time at the bedside assessing for shifting dullness in patients who may have had ascites. Today, when I ask residents about shifting dullness, I often get blank stares. “Why would I do…
Read MoreHave you ever been able to see the vocal cords during direct laryngoscopy but you weren’t able to pass the endotracheal tube cuff beyond the cords? This occurs not too infrequently during endotracheal intubation and I am going to share…
Read MoreThere have been multiple strategies to determine the “optimal PEEP” in acute respiratory distress syndrome (ARDS). One strategy is to perform a recruitment maneuver using an “Open Lung” approach and neuromuscular blockade (with pressures as high as 60 cm H2O),…
Read MoreAs a third year medical student at a busy trauma center, one of my jobs was to hold a bag of saline connected to the trauma victim’s abdomen and throw the bag to the ground when it emptied. While I…
Read MoreStaph aureus bacteremia (SAB) includes both MRSA and MSSA bacteremia and carries an attributable mortality rate of up to 25%. As such, it is important to determine ways in which this mortality rate can be reduced. The evidence base for…
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