Richard Byrne, MD

Advanced Practice - Neutropenic Enterocolitis

Neutropenic Enterocolitis aka typhlitis, necrotizing enterocolitis, ileocecal syndrome

Definition:

  • intestinal mucosal wall edema and disruption of wall integrity in a neutropenic patient 

Pathogenesis:

  • Weakened immune system --> intestinal overgrowth --> invasion of opportunistic bacteria.
  • May lead to sepsis and bowel perforation.
  • Mortality  22%-50%.

Patient population:

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Advanced Practice - New Sepsis Guidelines Ignite Controversy!

The Surviving Sepsis Campaign has published a 2018 update to their guidelines for sepsis care. The new recommendations have sparked major controversy in the emergency medicine, critical care, and infectious disease communities. Read on for a brief summary of the most controversial points and links to further reading!

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Advanced Practice: New C-diff guidelines!

This week's post comes courtesy of our ED pharmacist Rachel Rafeq. Surprise! Metronidazole is no longer first line therapy for c-diff infections! Check out this handy table for the updated guidelines from the Infectious Disease Society of America for the latest treatment regimens

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Advanced Practice: Airway Mastery Series! DL vs VL for Airway Management in the ED

The ResusEM conference is coming back this August! This is a summary of a portion of Dr. Byrne's talk on airway management presented at the August 2017 ResusEM conference at Cooper Medical School of Rowan University. Check out some of the literature looking at the performance of video largyngoscopy versus direct laryngoscopy in various hospital settings.

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Advanced Practice: Airway Mastery Series! DL vs VL for Airway Management in the ED

The ResusEM conference is coming back this August! This is a summary of a portion of Dr. Byrne's talk on airway management presented at the August 2017 ResusEM conference at Cooper Medical School of Rowan University. Check out some of the literature looking at the performance of video largyngoscopy versus direct laryngoscopy in various hospital settings.

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Direct Measurement of Compartment Pressure Using a Stryker Device

Acute compartment syndrome is a surgical emergency.  Measurements of compartment pressures are an important adjunct to making the diagnosis. Check out this post for a video demonstration on how to operate the Stryker Device

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Advanced Practice: N-acetyl cysteine for non-acetaminophen induced acute liver failure!

N-acetyl cysteine has a well established role in the early treatment of acetaminophen poisoning, but does it have any value in the treatment of other causes of acute liver failure? Read on for a quick summary of two studies, summarized by our own Dr. Poonam Kothari...

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Advanced Practice: Cardiac Arrest in Pregnancy

A very gravid patient arrives in your ED after sudden cardiac arrest. You begin to panic as you wonder what differences you need to consider for a pregnant patient in cardiac arrest. Lucky for you, you are an avid EM Daily reader!

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