It was December 4th, 2016. I had just settled into depression from a major manic episode. I was struggling with a recent surgery, weight gain, and managing my children and homework while hobbling around on crutches. 834 more words
Tags » Pulmonary Embolism
When PE impairs RV function, further possible consequences include low cardiac output and shock and myocardial ischemia due to poor coronary perfusion pressure and diastolic overdistension. 510 more words
You and your partner work for an urban ALS system. At approximately 2300, you are dispatched to a choking with an unresponsive party. As you arrive on scene, a BLS engine crew member alerts you to the fact that they have a mid-70s male in full cardiorespiratory arrest just outside of a downstairs bathroom. 616 more words
My patient with chronic alcoholism is showing signs of alcohol withdrawal even though his blood alcohol level (BAL) is still elevated. Is this possible?
Absolutely! For patients with chronic alcohol dependence, any acute decline in their BAL may precipitate withdrawal (1). For example, if a patient typically drinks enough alcohol on a daily basis to sustain a BAL of 350 mg/dl, any significant drop in BAL (e.g. 105 more words