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IBCC chapter & cast – Epiglottitis
The hard part about playing chicken is knowing when to flinch – Bart Mancousco, The Hunt for the Red October Epiglottitis is often a game of chicken. The great majority of adult patients don’t require intubation, so the best management for them is steroid and antibiotic (plus close observation and the ability to intubate if […]
IBCC chapter & cast – Pneumocystis Jirovicii Pneumonia
Pneumocystic Jirovicii Pneumonia (previously Pneumocystic Carinii Pneumonia) remains an important opportunistic infection in critical care. Improved treatment for HIV has reduced the frequency of PJP due to AIDS, but meanwhile the development of increasingly sophisticated immunosuppressive regimens for other patient populations has increased the incidence of non-HIV PJP. New diagnostic tests are improving our ability […]
EMCrit 276 – The Rapid Code Status Conversation with Kei Ouchi
Rapid Code Status Conversations are essential to render proper and compassionate care…
PulmCrit – Dexamethasone & COVID – a study in immunopathology, evidence-based medicine, and ourselves
Early in the COVID epidemic, it became clear that the virus often causes a cytokine storm, leading to immunopathological organ damage. The first major study to suggest benefit from steroid in COVID was a retrospective study by Wang et al. released in early March, which found reduced mortality among COVID patients with ARDS who were […]
IBCC chapter & cast – Vocal cord dysfunction
Vocal cord dysfunction is a masquerader of life-threatening pathologies (most notably asthma and anatomic upper airway obstruction). Vocal cord dysfunction itself is not dangerous, but if not properly diagnosed it may lead to considerable iatrogenic harm (e.g. multiple unnecessary intubations for “asthma”). On the flip side, incorrect diagnosis of vocal cord dysfunction is also dangerous, […]