For mechanically intubated patients in the emergency department, we aim for a tidal volume of 6-8cc/kg of ideal body weight. But calculating the ideal body weight depends on knowing the patient’s height. Bedside clinicians have various methods for figuring this out - asking the patient (dif
Lars-Kristofer Peterson, MD
Remember to look at the differential of your CBCs. A recent publication demonstrated in retrospective data that higher proportions of bands on the WBC differential were associated with increased likelihoods of both severe bloodstream infections and mortality.
Great teams review their performances. A recent publication from George Washington University used video of cardiac arrest resuscitations to generate educational interventions to minimize pulse checks during resuscitation.
It’s a familiar call ahead to the ED - an adult patient who is febrile, hypotensive, with suspicion towards infection. While setting up the room, the patient’s bedside nursing team asks if you’d like them to get saline or lactated Ringer’s (LR) ready for resuscitation. You wonder if there’s any new evidence examining the use of saline versus balanced crystalloids in the emergency department.