Tuesday
Advanced Practice: Bedside Two Point Compression Ultrasound to Rule-In Pulmonary Embolism by Chad Simpkins MD
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You evaluate a patient complaining of acute onset of dyspnea with hypotension and hypoxia. You immediately consider the diagnosis of acute massive pulmonary embolism, but despite your best efforts can't get good cardiac windows on bedside ultrasound. Should you administer thrombolytics? Heparin? Send the shocky patient for a CT? Today Dr. Simpkins goes through the steps to perform 2-point compression ultrasound of the lower extremity to evaluate for DVT, an easy and rapid bedside test that may allow for indrect but more rapid diagnosis of acute, massive pulmonary embolism.
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Advanced Practice: Management of Acute Chest Syndrome with Dr. Lou Argentine
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5 steps to Managing Acute Chest Syndrome in adult population
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"HUGS" as a Novel Treatment for Gastroparesis
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It’s the end of a long night shift and you are about to see your next patient triaged as “known history of gastroparesis, presenting with intractable nausea and vomiting.” You know you are in for a rough battle ahead without any good pharmacological choices for treatment. Enter HALOPERIDOL.
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Ventilation Pearl: The Missing Instrument...
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The tape measure is a tool we should all consider adding to our tool belts or airway carts. Here’s why!
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Critical Care Controversies! Vitamin C+Thiamine+Hydrocortisone for Severe Sepsis and Septic Shock
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Can cheap, safe infusions of vitamins really succeed where so many hundreds of novel therapies have failed? The recent article in Chest by Dr. Paul Merik has taken the critical care world by storm, with reported mortality rates of 8.5% in patients treated with a simple vitamin C/thiamine cocktail (with none of the deaths directly attributable to sepsis). The skepticism and push-back have been nearly unprecedented, especially on #FOAMed. Whether you're a skeptic or an early adopter, you need to understand the basis for the debate by checking out this high-yield summary.
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How to Drain a Felon
Chief Complaint: Finger infection. Gosh, I hope it’s only a paronychia. Oh no…it’s a felon! How do I drain those again??
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Advanced Practice: Endovascular Therapy Trials
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Mr. Clean, Escape, Extend IA. So many trials...just tell me the bottom line! Here are some of the most critical neuro-interventional trials and their take home points.
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Intracellular Explosions: TUMOR LYSIS SYNDROME
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Oncological patients are at risk of developing several complications including life threatening infections. We often first worry about neutropenic fever in these patients. However, there are other oncological emergencies with which the emergency medicine physician needs to be familiar.
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Advanced Practice: Post Partum Hemorrhage
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Delivering a baby in the emergency department is far from ideal and although all usually goes well, you need to be prepared in case it doesn’t. Shoulder dystocia gets a lot of hype because of those fancy corkscrew maneuvers, so instead of that we’re going to talk about another dreaded complication, post-partum hemorrhage.
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