Antibiotic Use in Cirrhotic Patients with Upper GI Bleeds
A high-yield summary of the evidence behind the benefit of antibiotics in cirrhotic patients with upper GI bleeding
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Friday
Chemotherapeutic Agents and Pulmonary Toxicity
As the treatment of malignancy evolves, the number patients who are receiving active chemotherapy presenting to the Emergency Department is increasing. Many of these patients present with respiratory chief complaints ranging from mild dyspnea to acute respiratory distress. This post aims to introduce chemotherapy-induced pulmonary toxicity and review those chemotherapuetic agents that commonly affect the lungs.
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Brain Protection After Severe Injury: Hyperosmolar Therapy
Following a severe brain injury the goal of the clinician is to prevent secondary brain injury. This entails increasing oxygen delivery to the brain by preventing hypoxia and increasing cerebral perfusion. Hyperosmolar therapy, including mannitol and hypertonic saline, is often used to decrease ICP.
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GI Bleeding: The Evidence Behind When to Transfuse?
When patients present to the Emergency Department with acute upper GI bleeding, the natural inclination is to quickly pull the transfusion trigger. However, a 2013 study gives us pause:
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"You Have to Be Warm and Dead:" ECMO as a Therapeutic Option for Severe Accidental Hypothermia
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A high-yield introduction to the use of ECMO in hypothermic patients!
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Don't Slow Me Down! Airway Management in Salicylate Toxicity
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#1 Rule: Do NOT take control of the patient’s airway unless absolutely necessary!
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I Can’t Take the Pressure Anymore! When to Worry About Abdominal Compartment Syndrome
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Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are rare but significant causes of morbidity and mortality in both traumatic and medical ICU patients.
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Procainamide vs Amiodarone: The Evidence Behind Treating Stable, Monomorphic Ventricular Tachycardia
When treating acute, wide-complex tachycardia deemed to be stable, monomorphic ventricular tachycardia, two agents remain prevalent among emergency medicine physicians: amiodarone and procainamide. This post examines some of the evidence behind these agents in achieving successful conversion of stable, monomoprhic VT.
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Does Sux Suck for Kids? Succinylcholine in the Pediatric Patient.
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Succinylcholine and its use during rapid sequence intubation in the pediatric population remains controversial. Here is a brief review of where that controversy comes from!
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Feed Me!: Early Enteral Nutrition in Acute Pancreatitis
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Standard of care in acute pancreatitis incorporates early enteral feeding. Here is a summary of the 2010 Cochrane Review supporting this change of practice.
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