recent articles

practice updates

Tox Cards: Narcan (naloxone)

emDocs is proud to introduce the new Tox Cards series! This will be a series of short posts that function as key points on toxicologic issues. Today's post: narcan (naloxone) use in the ED.

practice updates

Beta Blockers in Sepsis

"Beta blockers may improve hemodynamics, organ preservation, pressor requirements, and mortality"
Is there a role for beta blockade in septic patients? It seems counterintuitive, but Cynthia Santos, MD presents some recent literature suggesting a benefit in an ICU setting.

practice updates

Airway Subtleties in Critically Ill Patients

DKA: "Trying to intubate [...] using standard approaches can cause a period of apnea, which can kill your patient"
Cynthia Santos, MD with recs for your patients with salicylate toxicity, sepsis-induced ARDS, and DKA (ie, the ones who will likely require some modification to your usual airway algorithm). Crucial info here!

practice updates

Synthetic Cannabinoids

"There have been a growing number of cases associated with life-threatening neurotoxic effects and cardiotoxic effects"
Cynthia Santos, MD gives a nice overview of the increasingly popular synthetic cannabinoids, including the range of clinical presentations, management, and the bottom line for your practice in the ED.