Should you Intubate with the Head of the Bed Elevated (HOB)?
Consider postioning your patient with their HOB elevated on your next intubation.
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Haney Mallemat, MD
Brain Protection After Severe Injury: Hyperosmolar Therapy
Following a severe brain injury the goal of the clinician is to prevent secondary brain injury. This entails increasing oxygen delivery to the brain by preventing hypoxia and increasing cerebral perfusion. Hyperosmolar therapy, including mannitol and hypertonic saline, is often used to decrease ICP.
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GI Bleeding: The Evidence Behind When to Transfuse?
When patients present to the Emergency Department with acute upper GI bleeding, the natural inclination is to quickly pull the transfusion trigger. However, a 2013 study gives us pause:
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"You Have to Be Warm and Dead:" ECMO as a Therapeutic Option for Severe Accidental Hypothermia
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A high-yield introduction to the use of ECMO in hypothermic patients!
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Don't Slow Me Down! Airway Management in Salicylate Toxicity
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#1 Rule: Do NOT take control of the patient’s airway unless absolutely necessary!
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I Can’t Take the Pressure Anymore! When to Worry About Abdominal Compartment Syndrome
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Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are rare but significant causes of morbidity and mortality in both traumatic and medical ICU patients.
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Does Sux Suck for Kids? Succinylcholine in the Pediatric Patient.
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Succinylcholine and its use during rapid sequence intubation in the pediatric population remains controversial. Here is a brief review of where that controversy comes from!
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Feed Me!: Early Enteral Nutrition in Acute Pancreatitis
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Standard of care in acute pancreatitis incorporates early enteral feeding. Here is a summary of the 2010 Cochrane Review supporting this change of practice.
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A Tale of Baclofen Toxicity
Key points to remember when evaluating altered mental status in patients taking Baclofen!
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Antibiotic Use in Cirrhotic Patients with Upper GI Bleeds
Antibiotic use in patients with upper GI bleeding and concomitant liver cirrhosis is standard of care. However, have you ever wondered where that recommendation comes from and what exactly the benefits are?
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