Taking patients to CT in less time requires an enormous multidisciplinary effort. Sure, the scanner needs to be cleared, radiologists need to be ready to read, and the patient needs to be packaged, but what else needs to happen? What needs to NOT happen?Read More
We all know that IV adrenaline (along with CPR) is standard of care for patients in cardiac arrest with non-shockable rhythms. But… did you know there really hasn't been any well controlled trials to see if it really makes a difference in endpoints such as improved survival and neurologically intact survival outcomes? M.W. Donnino and his team in Boston have just published a study that shows it just might.Read More
Risk stratifying hot joints is where we can probably save the most lives in the waiting room. Septic joints have a reported 10-30% mortality and need to be separated from rheumatic, gouty, and traumatic joints.Read More
Well, I’ve been hearing a variety of comments thrown around about the optimum management of STEMIs. So, in the spirit of reviewing the basics on this important topic, let’s review the key papers that compare PCI to thrombolytic therapy for AMI.Read More
Consider Antibiotics in the ED for UGI bleeding in patients with cirrhosis.
Spontaneous bacterial peritonitis in patients with cirrhosis is associated with increased morbidity and mortality. Aerobic gram-negative organisms and streptococci are the most frequent causes of this infection.Read More
I "quiz‟ nearly every learner on what type of local they use on fingers. Nearly everybody responds that they never use adrenaline on fingers, toes, penises, ears, and noses. The evidence published since 1963 is pretty clear that it is not harmful to use local with dilute adrenalin on end arteries.Read More