Background: Heart rate (HR) assessment is a vital component in the neonatal resuscitation (NR) algorithm. Research has consistently found auscultation to be an inaccurate means of assessing neonatal HR and may lead to incorrect resuscitation interventions. Current Neonatal Resuscitation Program (NRP) recommendations include auscultation for initial HR determination. Whether HR assessment via auscultation during NR [...]

Background: Nosocomial infections contribute significantly to morbidity and increase health care costs for both pediatric and adult patients in the United States.(1) Intravenous access remains a main source of nosocomial infections from environmental and (non-intentional) aseptic technique violations by healthcare providers via contact with stopcocks, IV tubing, and syringes.(2,3) Stopcock contamination and repeated syringe strokes [...]

Case Presentation: A 53-year-old male with a complex medical history including hypertension, diabetes, peripheral vascular disease, abdominal aortic aneurysm, and non-small cell lung cancer presented with persistent headaches, dizziness, and an unsteady gait. Initial CT scan revealed a left cerebellar mass with fourth ventricle effacement, prompting transfer to our intensive care unit for urgent neurosurgical [...]

Case Presentation: A 65 year-old man with end-stage renal disease was brought to the Emergency Department (ED) when he developed confusion and shortness of breath at a skilled nursing facility (SNF).  He had a recent prolonged hospitalization for pelvic osteomyelitis and was discharged to the SNF 3 days before presentation.  In the ED, the providers [...]

Case Presentation: A 60-year-old male with a history of hypertension, diabetes, and hypercholesterolemia presented to the emergency department for worsening shortness of breath. Subjective and objective data lead to the preliminary diagnosis of bilateral pneumonia, COVID-19 positive, and soon thereafter developed acute hypoxic respiratory failure. This patient had a prolonged ICU course complicated by septic [...]

Case Presentation: 77F with COPD, CAD, HFpEF (50%), scimitar syndrome, pHTN, pAfib, type V long QT syndrome, SSS s/p ablation, TIA, and a recent mechanical fall with left pubic ramus fracture and subdural hematoma with recent discharge from acute rehabilitation center presents to the emergency room after a witnessed, mechanical fall at home due patient’s [...]

Case Presentation: Cardiopulmonary resuscitation (CPR) is a critical intervention in cardiac arrest management, essential for maintaining circulation and oxygenation to avert irreversible brain damage. This case report highlights the impact of high-quality CPR on neurological outcomes, even after extended resuscitation.A 45-year-old sedentary female with multiple sclerosis (MS) and morbid obesity with a BMI of 53 [...]