Acetaminophen (Tylenol, Paracetamol, APAP) is a commonly used analgesic and antipyretic agent found in many over the counter and prescription medications. It is one of the most common toxic exposures responsible for an estimated 450 deaths annually in the United States, and it is the most common cause of acute liver failure in the United States.
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Submitted by Lindsey Glaspey, DO
Check out this great post from Dr. Michelle Lin from ALiEM about ABEM Oral Board Preparation including a video series from the University of Maryland Department of Emergency Medicine!
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Use a tidal volume of 6-8 cc / kg (ideal body weight) when ventilating your patient...even when they are obese
Read moreSubmitted by Haney Mallemat, MD
Are you maximizing your technique to provide optimal CPR? This week Dr. Brian Roberts shared excellent take-home tips to remember when performing CPR.
Read moreSubmitted by Brian Roberts M.D.
Chvostek’s sign is momentary contraction of the nose and/or lips in response to tapping the facial nerve at the angle of the jaw. Associated with hypocalcemia, it has been found to be poorly sensitive and specific. It is seen in 10-25% of healthy individuals with normal calcium levels, whereas approximately one third of patients with hypocalcemia will not demonstrate this sign.
Read moreSubmitted by Lauren Murphy, MD
You are evaluating a patient who is having massive bleeding from his tracheostomy. The nurse reports that per chart review, the patient underwent planned tracheostomy five days ago.
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A postion paper from 2011 offers some guidance on this question.
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This past week Dr. Mallemat (@CriticalCareNow) shared his wisdom and approach to patients suffering from undifferentiated shock. Keep reading for some very practical pearls!
Read moreSubmitted by Sarab Sodhi, MD
54-year old male presents with finger laceration after catching his wedding band on metal scaffolding above his head. He now reports significant pain at his left fourth digit with skin avulsion and decreased range of motion. What's the diagnosis and what should you do next?
Submitted by Haney Mallemat, MD