Advanced Practice: Management of Acute Chest Syndrome with Dr. Lou Argentine
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5 steps to Managing Acute Chest Syndrome in adult population
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Richard Byrne, MD
"HUGS" as a Novel Treatment for Gastroparesis
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It’s the end of a long night shift and you are about to see your next patient triaged as “known history of gastroparesis, presenting with intractable nausea and vomiting.” You know you are in for a rough battle ahead without any good pharmacological choices for treatment. Enter HALOPERIDOL.
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Ventilation Pearl: The Missing Instrument...
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The tape measure is a tool we should all consider adding to our tool belts or airway carts. Here’s why!
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Critical Care Controversies! Vitamin C+Thiamine+Hydrocortisone for Severe Sepsis and Septic Shock
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Can cheap, safe infusions of vitamins really succeed where so many hundreds of novel therapies have failed? The recent article in Chest by Dr. Paul Merik has taken the critical care world by storm, with reported mortality rates of 8.5% in patients treated with a simple vitamin C/thiamine cocktail (with none of the deaths directly attributable to sepsis). The skepticism and push-back have been nearly unprecedented, especially on #FOAMed. Whether you're a skeptic or an early adopter, you need to understand the basis for the debate by checking out this high-yield summary.
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Advanced Practice - Paracentesis-induced circulatory dysfunction (PICD)
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Do you routinely perform large volume (or near large volume) paracentesis in your ED? If so, you need to know about a potentially life-threatening complication of this procedure...
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Advanced ECG interpretation: Wellens' Warning!
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A 45 year old man with PMHx of HTN presents with chief complaint of chest pain for 15 minutes after shoveling snow. His vital signs and physical exam are unremarkable. A 12 lead ECG is obtained...
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Tranexamic Acid: Evidence and Clinical Applications
Tranexamic Acid! It seems everywhere we look there are people touting TXA as the next miracle drug. This post introduces the clinical applications of TXA and the evidence supporting its use.
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Back to Basics Deep Dive - The Hand
Do you sound like a first year medical student when discussing hand injuries by phone with consultants? Forget all the tendon anatomy you crammed for in anatomy? FDP? FDS? FPL? Then check out this post for a "Back to Basics" online hand exam lecture by Dr. Fred Heckler from UPMC.
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Low Risk Chest Pain - The Bane of ED Doctors Everywhere!
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A brief summary of the fantastic talks from the 2016 Emergency Cardiology Symposium sponsored by the University of Maryland Department of Emergency Medicine.
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Airway Mastery Series: Mastering the Bougie
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You are intubating a sick patient in the ED via direct laryngoscopy. After opening the airway, sweeping the tongue with your blade, inserting into the vallecula, and lifting at the precisely correct angle your eyes behold....well...not the vocal cords! Maybe the arytenoid cartilages if you're lucky (aka Cormack Lehane 3 or 4 view). But wait, you aren't finished yet! You reach into your back pocket and remove your trusty bougie...
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