"While e-cigarettes are believed to be a safer form of 'smoking', this does not equate to safer forms of nicotine". The E-cigarette solutions have mean nicotine concentrations of 8.5–22.2 mg/mL and are sold in 5 to 20 mL vials. Keep in mind that the estimated lethal dose for nicotine in humans is 1 mg/kg.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
How are you rate-controlling your a-fibers these days? Everyone has their own concoction, but since we now stock IV diltiazem (which is a first line treatment that most of us Yanks learned), we thought we might share a recent publication in Critical Care Medicine with you.
Intravenous diltiazem is superior to intravenous amiodarone or digoxin for achieving ventricular rate control in patients with acute uncomplicated atrial fibrillation.Read More
Emergency intubations are the most dangerous 10 minutes in the hospital. The difficult airway is just the type of low frequency, high consequence event that scares the crap out of me.
Cliff Reid, from Sydney, has an awesome blog where he recently interviewed the author of the Major complications of airway management in the UK. This report on every reported airway complication reads like a horror novel.Read More