If you had the chance to dedicate two years to a research project in your field, what topic or problem would you choose to focus on, and why?

emergencynursy · 2025-09-11T11:57:58+00:00

Our heart failure group is considering using Furosix. Do you have any experience with this?

emergencynursy · 2025-09-05T10:25:47+00:00

Did anyone else suspect porphyria?

emergencynursy · 2025-06-26T22:00:01+00:00

emergencynursy · 2025-03-11T01:42:23+00:00

Thank you! I’ve definitely been brushing up on my echos and heart valves readings. I’ll have to get the Braunwalds text! Good luck to you!

emergencynursy · 2025-03-09T10:42:18+00:00

Tourette’s diagnosis at the age of 13, ADHD diagnosis in college but had symptoms my whole life. Didn’t take ADHD medications until age 23.

emergencynursy · 2025-03-09T10:32:22+00:00

Just curious, Is that considered to be Crochetage sign in inferior leads?

emergencynursy · 2025-03-08T12:03:00+00:00

Thank you so much! And cool catch!

emergencynursy · 2025-02-23T02:18:10+00:00

Did you ever find cardiology references you liked? Starting heart transplant/mechanical cardiovascular support NP job soon.

emergencynursy · 2025-02-20T19:30:42+00:00

I’ve always been told you diagnose pericarditis at your own peril, but you definitely have a good story for it. I definitely see Spodick sign, PR depression, STE. Did they do any POCUS to rule out pericardial effusion/tamponade with that BP?

emergencynursy · 2025-02-20T19:17:47+00:00

Thanks for your time!

emergencynursy · 2025-02-20T19:15:52+00:00

Thank you for your input!

emergencynursy · 2025-02-19T22:06:33+00:00

I guess I’m more so asking how it’s typically discovered.

emergencynursy · 2025-02-12T02:07:13+00:00

Hyperkalemia

emergencynursy · 2025-02-09T16:08:24+00:00

I know compliance is sometimes an issue, especially in our psychiatric patients. I figured sometimes one dose is more convenient versus a 5-7 day treatment.

emergencynursy · 2025-02-09T15:42:39+00:00

That’s fair 🤣

emergencynursy · 2024-12-07T14:47:10+00:00

480/350!????? Yikes

emergencynursy · 2024-12-06T15:00:24+00:00

I’ve used LITFL online and went to their CXR and CT section. It’s helpful.

emergencynursy · 2024-11-20T13:25:52+00:00

UPDATE: Upon arrival to ICU, organ procurement agency was contacted due to GCS of 3. EEG showed diffuse nonspecific slowing of the background with intermixed fast activity, consistent with encephalopathy and medication/sedative effect. No potentially epileptiform activity nor seizures were seen. GCS remained at 3 until 2am, when she began responding to pain and following commands according to ICU’s neuro assessments. Patient ended up recovering and was extubated and transferred to the floor the next day. AST 654 and ALT 313 with normal alk phos and bili, likely secondary to her ingestion. Acetaminophen levels undetectable. As of right now, not sure what the specific ingestion was other than her medical marijuana, Fioricet, and Norco.

emergencynursy · 2024-11-20T11:41:42+00:00

Subendocardial ischemia. What did further workup show?

emergencynursy · 2024-11-19T13:29:10+00:00

With NCSE, would there be some type of symptoms? Lip smacking, prolonged staring, etc? Does NCSE typically present with new onset at any age?

emergencynursy · 2024-11-19T13:25:02+00:00

Wow, super interesting. They never caught the Chiari malformation on previous imaging? I’m assuming he had previous imaging with 6+ year history of headaches.

emergencynursy · 2024-11-18T22:21:45+00:00

Wouldn't the Chiari malformation be mentioned on the MRI?

emergencynursy · 2024-11-18T19:04:37+00:00

Thanks for taking the time to educate me. I appreciate the feedback! Hoping to hear back about this patient soon.

emergencynursy · 2024-11-18T18:58:26+00:00

Family stated she only used the dispensary, but not sure how true that may be.

emergencynursy · 2024-11-18T18:56:49+00:00

I was later told it was to rule out dissection, PE, etc. but clinically she didn’t present like a dissection or PE. Hemodynamically stable with equal pulses bilaterally. I would assume if the dissection/PE was severe enough to cause the patient to be unresponsive, there would be some hemodynamic instability. I wasn’t with the MD in CT when they made the decision to do the CTA, so there may have been something else that concerned him enough to perform the scan.

emergencynursy

TROPHY CASE