Is End Tidal CO2 the real 6th vital sign?

End-Tidal CO2 is an under-utilized and frequently overlooked modality for monitoring patients in the Emergency Department. Here is why you should pay close attention to it...

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Is Bacterial Vaginosis an STD?

First...let's set the stage... Bacterial vaginosis (BV) is characterized by a shift in vaginal flora away from Lactobacillus species toward a more diverse bacterial spectrum such as Gardenella vaginalis, Mobiluncus curtisii, M. mulieris, other anaerobic bacteria and/or Mycoplasma hominis.1 This shift in…

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ATLS 10th Edition Update Summary

Initial Assessment ABCDE is still the recommended approach – there is no evidence-based data identified to justify modification to this approach in civilian patients. Fluid Resuscitation Provide only 1 L of WARMED crystalloid fluid for adults (20 cc/kg in…

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Lyme disease: A Clinical Summary

It’s that time of year again. As the Lyme endemic regions of the United States shake off the winter, people start to wander outside and into the Emergency Department with tick bites. This summary is meant to serve as…

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