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

EKG of the Week

This week we have an EKG of a 65 year-old woman who presented with fatigue. She just didn’t seem to have the energy she normally has. No chest pain, shortness of breath, fever, cough or leg swelling. Her vital signs and exam were unremarkable.

Here is her EKG: EKG 2017-07-24

Instead of putting your guesses below, respond to the corresponding Tweet by @RushEmergency.

How to Read A Paper

Using evidence in the practice of medicine requires minding three areas: the best available evidence, the clinical scenario and the patient’s values. There are four steps to carry out this process. ASK a clinical question (PICO).  During the care of your patients, you’ll come across something to which you don’t know the answer. This uncertainty