7. Case of the month: Pulmonary Embolism

7. Case of the month: Pulmonary Embolism

Triage:-3.06pm on Wednesday afternoon-Cat 3 to acute bed. 2/52 of worsening SOB on exertion +dry cough. Postural drop with CDA.-Observations: BP 116/65, HR 80, RR 24, sats 96% on room air, temp 35.9C History -2/52 exertional dyspnoea and slight cough. Pre-syncopal x2 today whilst attempting to ambulate. LUQ non pleuritic and non-positional-left total hip replacement…

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Corticosteroids in Severe Community Acquired Pneumonia: Could CAPE COD catalyze a change in critical care management? – REBEL EM

Corticosteroids in Severe Community Acquired Pneumonia: Could CAPE COD catalyze a change in critical care management? – REBEL EM

Background: Community-acquired pneumonia (CAP) can lead to pulmonary and systemic inflammation, resulting in impaired gas exchange, sepsis, organ failure, and an increased risk of death. Corticosteroids have excellent anti-inflammatory and immunomodulatory effects that could mitigate some of the inflammation caused by pneumonia. There have been several randomized trials that have shown glucocorticoids have positive effects…

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6. Case of the month: AAA

Images and case Danielle Martinez An 89 year old lady  presented to hospital with  severe abdominal pain and collapse on a background of a known AAA. On arrival, she was hypotensive and pale with a reduced level of consciousness. A Point of Care Ultrasound was performed. A shows a transverse view through the mid aorta. B …

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