Ever wonder where the the current American Heart Association and American Stroke Association (AHA/ASA) guidelines for thrombolysis in acute ischemic stroke come from? Included is a summary of the landmark studies that have contributed to these recommendations (NINDS& ECASS III) as well as a review of IST-3.
Read moreSubmitted by Sumaya Mekkaoui, MD
A 45 year old male with known history of depression presents to the Emergency Department after a relative called EMS for concern for intentional overdose.
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How do you safely disposition your low-risk chest pain patients? This week for his Critically Appraised Topic, Dr. Michael Coletta investigated the safety and accuracy of accelerated diagnostic protocols for low-risk chest pain patients presenting to the ED.
Read moreSubmitted by Michael Coletta, MD
60-year old male with a PMHx intractable hiccups presented with a chief complaint of left neck pain due to foreign body protruding from his neck. He had a device placed subcutaneosly several yeras ago for intractable hiccups, what's the diagnosis?
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.
Read moreSubmitted by Patrick Sheehan, MD
Acetaminophen (Tylenol, Paracetamol, APAP) is a commonly used analgesic and antipyretic agent found in many over the counter and prescription medications. It is one of the most common toxic exposures responsible for an estimated 450 deaths annually in the United States, and it is the most common cause of acute liver failure in the United States.
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Submitted by Lindsey Glaspey, DO
Check out this great post from Dr. Michelle Lin from ALiEM about ABEM Oral Board Preparation including a video series from the University of Maryland Department of Emergency Medicine!
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Use a tidal volume of 6-8 cc / kg (ideal body weight) when ventilating your patient...even when they are obese
Read moreSubmitted by Haney Mallemat, MD