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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Tuesday
"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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Advanced Procedures: How to Create a Pericardiocentesis Model
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Pericardiocentesis is a rarely performed, but potentially life-saving procedure. Commerical models are prohibitively expensive, but students and residents (and critical care fellows) still need to learn the mechanics, ideally with an ultrasound compatibile model. This week's post gives a step by step guide towards making a cheap, easy to fabricate phantom based on this fantastic paper published in the Journal of Emergency Medicne 2012: https://www.ncbi.nlm.nih.gov/pubmed/21925818
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Trials Instead of Tragedy: Unexplained dyspnea on exertion in a healthy young physician....
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Think just because you are a young, healthy physician that you are invinceable? Read this post and remember that we are vulnerable too...even more so because we often refuse to acknowledge when we are sick. This week's Advanced Practice topic comes to us courtesy of a Cooper EM alum. The story is told with full permission from the patient, his wife, though names are omitted to prevent any possible HIPPA entanglements!
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