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practice updates

R.E.B.E.L. EM – Xanthochromia Detection: Visual Inspection vs. Spectrophotometry

An LP gives providers the ability to perform CSF analysis for red blood cells and detect xanthochromia by visual inspection or spectrophotometry. In most of the world, including the United States, the predominant approach to identifying xanthochromia is visual detection. However, this technique is subjective and considered unreliable by many. Spectrophotometry is a more objective test but, has lower specificity, carries a higher cost and is unavailable in the majority of hospitals.

practice updates

CORE EM: Pharmacology of Insulins

Insulin was first licensed for human use in 1922. Since then, numerous formulations with various similar names have been produced and marketed. Because the names of the different drugs are often very similar (novolin vs novolog), it can difficult for emergency providers to keep all of the agents straight. In this post, we discuss the categories of insulins, the nomenclature and the pharmacokinetics of the most commonly used agents.

practice updates

R.E.B.E.L. EM – Epistaxis Myths Part I – Do Patients with Epistaxis Managed by Nasal Packing Require Prophylactic Antibiotics?

Traditional teaching argues that patients with nasal packs should be given prophylactic antibiotics to prevent serious infectious complications. Is there evidence to support this dogma? Read this post as Dr. Swaminathan discusses the evidence to bust this myth.

practice updates

Core EM: Life-Threatening Asthma

A great post by Core EM - Bringing core EM content to anyone, anywhere, anytime. Learn the simplified and point-to-point review of life-threatening asthma by Dr. Anand Swaminathan, MD (@EMSwami)