The most commonly used induction agent for rapid sequence intubation in the acutely injured patient is etomidate, largely due to its rapid onset of action and hemodynamically "neutral" effects.
Read moreSubmitted by Joseph Cesarine, MD
A high-yield introduction to the use of ECMO in hypothermic patients!
Read moreSubmitted by Grace Lam, MD
This post aims to shine a light on a possibly emerging use of bedside ultrasound.
Read moreSubmitted by Joseph Cesarine, MD
,Submitted by Lauren Lewis, MSN, CRNA
Case: A 2 year-old male with no significant PMH is brought to the Emergency Department by his mother for intermittent abdominal pain for
Read moreSubmitted by Lauren Murphy, MD
It’s another busy shift in the Emergency Department and you are seeing the third patient of the day in atrial fibrillation with rapid ventricular response. You think to yourself, “simple plan and disposition: stabilize, start on a diltiazem infusion, anticoagulate and admit to cardiology, right?” Well before you proceed with this well accepted approach, consider an alternative management strategy where you can even discharge the patient home!
Read moreSubmitted by Anita Bhamidipati, MD
Patella fractures represent 1% of all fractures and are commonly seen after direct trauma to the bone (fall onto flexed knee, "dashboard" injury"). When to involve your consulting orthopedic surgeon is a key branch point in the management and care of these patients.
Read moreSubmitted by Joseph Cesarine, MD
A high-yield review of the past week on EMDaily.
Read moreSubmitted by Joseph Cesarine, MD
Ketorolac (toradol) remains one of the giant pillars of pain management in the Emergency Department as the climate of non-opiate analgesia strengthens. This post aims to summarize recently published evidence revealing a lower analgesic ceiling for this medication.
Read moreSubmitted by Joseph Cesarine, MD
#1 Rule: Do NOT take control of the patient’s airway unless absolutely necessary!
Submitted by Kara Huston, MD
Case: 43 year old woman presents to Emergency Department after falling from height of second-story window after locking herself out of the house. Patient reports falling onto her left hip. On physical exam, no leg length discrepancy and no bony tenderness to palpation of left hip. The patient cannot move her left lower extremity at the hip and has significant pain with minimal passive range of motion.
Read moreSubmitted by Joseph Cesarine, MD