Types of Shock and Therapeutic Interventions

Non-traumatic knee pain, Part I

Utilizing the 4 D’s to exercise fluid stewardship

Types of Shock and Therapeutic Interventions

Non-traumatic knee pain, Part I

Non-traumatic Foreign Bodies of the HEENT and Esophagus

Ventilator Management

Fluid Administration

Utilizing the 4 D’s to exercise fluid stewardship

Monocular Painless Vision Loss

PPE Washington D.C. 2021 April

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The four types of shock and therapeautic interventions discussed in detail.

Do you know the four types of shock and how to manage shock patients based on they type of shock they are in? If shock patients are not routine in your practice, this review will re-familiarize you with them and the therapeutic interventions recommended for treatment. What are the four types of shock? Shock is … Read more

Working in a physical medicine setting, a patient complaint I see on daily basis is knee pain. The knee pain complaints in this setting and that commonly present in the primary care setting are typically non-traumatic, non-emergent in nature. Before working in physical medicine, I didn’t truly appreciate how complex the knee is. There are quite a few different causes for non-traumatic knee pain, in this blog post I am going to cover iliotibial band syndrome and patellofemoral pain syndrome.

Non-traumatic Foreign Bodies of the HEENT and Esophagus

People often present to an emergency room, or urgent care setting with a foreign body lodged in an orifice. When the patient presents they will have a sense of urgency, and feel that it needs to “come out now”. This may or may not be the case. In order of most to least common, non-traumatic foreign bodies can become lodged in the throat, ears, nose, vagina, rectum and urethra. Patients may be adult or pediatric. Kids will often stick beads or buttons in their ears or nose, and will swallow just about anything. Adults may have an insect in their ear, esophageal food impaction, or engage in foreign body insertions during sexual practices. In this blog we will talk about HEENT/Esophageal foreign bodies.

The Police, an 80’s English rock band, had it right in there song ‘Every Breath You Take’ when they said:

Every breath you take
Every move you make
Every bond you break
Every step you take
I’ll be watching you

“Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy.” -Paracelsus, date unknown

For patients in septic shock or those that are dehydrated, administration of fluid is top priority to restore adequate intravascular volume, increasing cardiac output, augment oxygen delivery, and improving tissue oxygenation.

Eye complaints, particularly vision complaints, can seem daunting to a provider in an urgent care or emergency department setting. The eye is a complex structure. The anatomy and the neurology behind vision is intricate. Often, you may be practicing in an environment without the ability to consult an ophthalmologist. An understanding of urgent and emergent eye and visual problems is crucial. This post will deal with painless vision loss.

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