A Week in Review: Aug 14th - 18th

Monday: Back to Basics - Subarachnoid Hemorrhage

  • BP control - some say <140, although data suggest 140 no better than 180. However AVOID Nitroglycerin and Nitroprusside which can cause elevated ICP
  • Anticoagulation - hold all anticoagulation, recent PATCH trial in lancet suggest ASA reveral with platelets not helpful
  • Seizure Prophylaxis and prevention of vasospasm

Tuesday: Adcanced Practice - The Dusky Digit

Unsure if there is significant arterial injury? Try using a pulse ox on the affected digit, compare to same digit on other extremity.

<85% concerning for arterial injury.

Wednesday: What's the Diag?

Thursday: #emconf - RESUS/EM Conference

Too great to summarize, check out each one line summary from a great line up of speakers at the RESUS/EM conference!