Question: Does prophylactic antibiotic therapy decrease incidence of pneumonia in out of hospital cardiac arrest (OHCA) patients receiving targeted temperature management (TTM)?

Submitted by Alyse Volino, MD

Yes we learned most this as a 4th year med student... but sometimes reviewing the basics can remind us of some important details we've forgotten. That's what back-to-basics is for! Here we review different types of intracranial hemorrhages.

Submitted by Courtney Martin, DO

A 36-year-old woman presented to urgent care with cough, dyspnea and hypoxemia. She was transported to the ED where she rapidly progressed to severe ARDS despite lung protective ventilation, paralysis and inhaled epoprostenol. Post-intubation, it was determined that she was pregnant with ultrasound revealing a fetus at 23 weeks, 6 days gestational age. She underwent cannulation for venovenous ECMO. What is the role of ECMO in the pregnant patient? A recently published analysis of the ELSO registry for peripartum patients supported with ECMO demonstrates a 70 percent survival rate. 

Submitted by Emily Damuth, MD

A 2 year old F presents to the ED with her parents with concern that she may have ingested a coin.

Submitted by Lynn Manganiello, DO