Week in Review: Feb 5th - 10th

Monday: Back to Basics - Bronchiolitis

Most common cause = RSV

Typically age < 2 years

Diagnosis is clinical, due not need CXR

WARM Score to assess if albuterol indicated

Nasal Suction

Tuesday: Advanced Practice - Anti-NMDA Receptor Encephalitis

Presentation is Late teen to 20s, F>M with AMS, bizarre behavior or weird movements

Diagnosis = CSF anti-NMDA antibody testing (100% sens CSF, 85% sens serum)

Treatment = supportive 75% improve without any intervention

Wednesday: What's the Diagnosis?

Thursday: #emconf - FFP for ACE-i induced angioedema

Review of study studies looking at wheter or not it works for ACE-i induced.

Bottomline - limited benefit based on poor data, questionable decrease in length of stay. No RCT data.

Saeb A et al. Using fresh frozen plasma for acute airway angioedema to prevent intubation in the emergency department: A retrospective cohort study. Emergency Medicine International 2016; 

Riha MH et al. Novel therapies for angiotensin-converting enzyme inhibitor-induced angioedema: A systematic review of current evidence. Journal of Emergency Medicine 2017; 54 (5): 662-679.

Friday: Critical Care - Go with the Flow (HFNC)

Best used in patients with hypoxic respiratory failure

Should not be used in patietns with hypercapneic respiratory failure (COPD)

Titrate FiO2 from 0.21 to 1.00. Use a rate of 2-8 L/min in Peds and 16-60 L/min in Adults

Saturday: Board Review - Compartment Syndrome

So you diagnosised compartment syndrome, nice job. Now which compartment is most likely to be effected?