A Week in Review March 5th - 10th
This is an ocular emergency, following blunt or penetrating trauma
Look for teardrop shaped pupil or posivtive Seidel test
Tx: HOB elvated, Broad Spect Abx, update tetanus
Quick review of the recent publication in NEJM on 0.9% NS vs LR
Cluster RCT with 15,802 patients spread across 5 ICUs at Vanderbilt
No single primary outcome showed signifcance. There was signficance in a composite outcome
Treatment: Start with propranolol to HR 90-100
Then add Thionamides (PTU), finally 1 hr after that consider Iodide
Here is a quick primer on the steps to prepare for an awake intubation.
Although it can be much safer, it takes a lot longer, and you need to be ready ahead of time.
On No! a crying, sick 6 week old child
What to do?