A Week in Review: April 3 - April 7

Monday: Back to Basics - Acetaminophen Overdose & Management

  • Acute single ingestion: >150 mg/ kg
  • Chronic ingestion> 4g/ day
  • Draw Acetaminophen Level @ 4 hrs
  • Treatment = 
  • PO dose:  140 mg/kg loading dose; then 70 mg/ kg PO every 4 hours x 17 doses
  • IV dose:  150 mg/kg loading dose; then 50 mg/kg over 4 hours; then 100 mg/kg over 16 hour.

Tuesday: Advanced Practice - Post Partum Hemorrhage

  • Give fluids/blood products as needed
  • 4 Causes: 4 Ts: Tone, Tissue, Trauma, Thrombin (coagulopathies)
  • Read more about specific therapies

Wednesday: Whats the Diag?

Foreign Body in the neck to treat intractable hiccups

Thursday: #emconf - Chest Pain

Review of ADP (Advanced Diagnostic Protocoals) 

Study 1: Than M, Cullen L, Aldous S, et al. 2-Hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: the ADAPT trial. J Am Coll Cardiol. 2012;59(23):2091-8
Study 2: Mahler SA, Riley RF, Hiestand BC, et al. The HEART Pathway randomized trial: identifying emergency department patients with acute chest pain for early discharge. Circ Cardiovasc Qual Outcomes. 2015;8(2):195-203

Friday: Critical Care - Malignant Ischemic Stroke

Emergent Decompressive Craniotomy for Ischemic Stroke?

Find out what and when