Richard Byrne, MD

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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Advanced Practice: Balanced Electrolyte Soluton vs Normal Saline in the Critically Ill

You are resuscitating a septic patient in the emergency department and are about to click on the order for a fluid bolus. You are confronted with several options for isotonic crystalloid including normal saline, lactated ringer's, and something called "Plasma-Lyte A." A New England Journal article, hot off of the presses, will almost certainly influence this decision in the coming months and years. Read on for a synopsis of this certain-to-be controversial paper.

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#EMConf: Inflammatory Bowel Disease in the ED!

Last week the Cooper EM residents received a primer on the approach to the patient with IBD in the ED from our own GI fellow Krysta Contino. This week will focus on the basic approach, and next week we will take a deeper dive into specific complications that every ED doc needs to know about!

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#EMconf #FlyEaglesFly: FFP for ACE-I induced angioedema

While the Cooper EM residents and faculty not on duty flock to the Eagles Super Bowl celebration parade in Philadelphia, EMDaily presents a brief review by our own Dr. Reid Phillips of two articles examining the efficacy of fresh-frozen plasma for the treatment of ACE-I induced angioedema. Can this simple therapy help prevent an airway disaster? Read on to find out!

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Advanced Practice: Neutropenic Fever in the ED

The cancer population is at an increased risk for morbidity and mortality from common infections due to their impaired immunity. Knowledge on how to approach the febrile neutropenic patient can have a huge impact on an otherwise horrific mortality rate in this vulnerable population.

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Advanced practice: Bariatric surgery complications

roux en y

Obesity is a problem in the United States. More and more patients are receiving bariatric surgery, resulting in a predictably higher volume of patients seeking care in the ED for complications of surgery. Read on to learn more about some of the potentially devastating complications of the most common bariatric procedure: the roux-en-y bypass.

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