recent articles

em@3am

EM@3AM: Laryngospasm

An 8-year-old male presents after falling onto an outstretched hand. He has an obvious dinner fork deformity to the right forearm. X-ray confirms a fracture of the distal radius and ulna. You prepare for procedural sedation with ketamine while you reduce and splint the fracture. You run through the pre-sedation assessment and exam, then gather all medications and airway supplies. Once the ketamine is pushed you hear a high-pitched stridor and see the patient's chest rise and fall irregularly as his oxygen saturation drops. What is the diagnosis and management?

Ultrasound G.E.L.

Ultrasound G.E.L. – PEA Arrest

This is the second study from the REASON group - one of the most rigorously performed studies of ultrasound in cardiac arrest. In this article, they are looking at the population in pulseless electrical activity (PEA) with cardiac motion on ultrasound. From this group, they differentiate those with organized rhythms. The idea is that perhaps this population would have a different survival or respond to treatments differently. By reanalyzing their previous data, they are able to answer these questions.