A Week in Review: May 1st - 6th

Monday: Back to Basics - Open & Depressed Skull Fracture

Priorities of Managment: Antibiotics Vanc + Cefepime or Vanc + Cefazidime

Anticonvulsants = Phenytoin to decrease seizures

TDaP

Tuesday: Advanced Practice - Vitamin C + Thiamine + Hydrocortisone for Severe Sepsis and Septic Shock

Read more about this Headline Study published in CHEST

Intervention = Vit C 1.5mg q6Hrs + B12 200mg q12Hrs + Hydrocortisone 50mg q 6Hrs

Mortality in Control = 40.4%, Mortality in Intervention = 8.5%

Link to Article: https://www.ncbi.nlm.nih.gov/pubmed/27940189

Thursday: #emconf - Epistaxis and TXA

What's the data for using TXA for nosebleeds?  Check out this review of 2 trials looking at it.

Friday: Critical Care - How to E(SCAPE) Intubation

Check out this quick summary of the physiology (and interventions) at play causing Acute Pulmonary Edema

*** Remember up to 50% of these patients might be intravascularlly deplete, hold off on Furosemide early***

Saturday: Board Review

How much do you know about SBP?