Acute Vertigo Management: Using STANDING for Quick Assessment
Reviewed by Dr. Sabrina Berdouk On a busy ED shift, “dizziness” is the chief complaint that can feel both benign and terrifying at the same time. Most of these patients will have BPPV or vestibular neuritis. However, a small but critical minority will have a posterior circulation stroke—and these are the ones we absolutely cannot […]
Critical Steps for Massive PE Resuscitation
Reviewed by DR. Sabrina Berdouk You’re in resus. The patient is hypotensive, tachycardic, gasping. CT (or echo) screams PE. The right ventricle is huge and unhappy. This is the moment where clarity beats complexity. This post is a practical, physiology-rooted cheat sheet for high-risk (massive) PE – the patient who is shocked or in arrest […]