Week in Review: July 16-21st
Monday - Back to Basics: Foreign Body Ingestion
Plastic Wood can be difficult to see on Xray, where as metal and stone are more easily seen
US is a great method for more superficial items
Remember Button batteries and magnes require emergent removal
Tuesday - Advanced Practice: Subcutaneous insulin for DKA
Has been tested by sum small RCTS in patients with MILD DKA
Generally instead of 0.1 - 0.13 units/kg/hr of IV insulin infusion
Use Lispor/aspart Insulin injection @ 0.15-.030 Unit/kg intially followed by 0.10-0.15 units/kg each hr after that
Wednesday - What's the Diagnosis?
Thursday - #emconf: Beyond ACLS - PEA
There might be some good uses for US in PEA
However beaware than many physician groups do poorly at determining cardiac standstill
Also be aware when using US, pauses in chest compressions were longer (23 vs 13 seconds)
Friday - Critical Care: ResusEM
Great review from last years ResusEM from Dr. Kilgannon and Dr. Roberts
ResusEM2 in 2 more weeks. Gete excited