Hyperglycemia

Here are some resources for hyperglycemia based on our session today. First here are RMC’s DKA protocols for adults and pediatric patients. DKA Protocol_2016.06.11 Peds DKA guidelines final 2013 Then some videos (old and new) about DKA and HHS. 2013 DKA and HHS These video review diabetic ketoacidosis and hyperglycemic hyperosmolar states. The second one

Idiot’s (Me) Guide to MRI

Whenever the Neurology team comes down and starts asking for special MRI scans with T2-this and gadolinium that, my eyes usually glaze over.┬áSo here’s a very brief guide to MRI’s. Very brief. General Principles The MRI works by applying a magnetic field to the body.┬áThis magnetic field aligns the protons in water nuclei. Next, external

Posterior Reversible Encephalopathy Syndrome (PRES)

At last month’s mortality and morbidity conference, we discussed a case of Posterior Reversible Encephalopathy Syndrome (PRES). Our consultant, a neuro-intensivist, told us that PRES is not always posterior, not always reversible nor always presenting with encephalopathy. Thanks whoever named that syndrome. The presentation is extremely variable. Typically presenting with: headache, altered mental status, visual

Bougie’s Galore

Here are some great videos on how to use bougies. Intubation with bougies Scott Weingart… yes, yes, but his video is good. Shows a preloaded bougie, which is what we should probably be doing. Has some great trouble shooting techniques Bougie cric Darren Braude’s video. A different view of the whole thing. I like this

Stroke or Vestibular Neuritis? Use the HINTS

The other day, Tom and I had a patient with the symptom of continuous vertigo. This is to be distinguished from someone with episodic triggered vertigo, such as when turning their head to the right, which we associate with benign paroxysmal positional vertigo (BPPV). The differential for continuous vertigo includes vestibular neuritis (a relatively benign