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Carbon Monoxide Poisoning

Author: Zach Radwine, MD (EM Resident Physician, University of Illinois College of Medicine – Peoria) // Editors: Jennifer Robertson, MD, Lewis Nelson, MD and Alex Koyfman, MD (@EMHighAK) Featured on the LITFL Review #180 – Thanks to Joe-Anthony Rotella and the LITFL Review group for the shout out!  Introduction Carbon monoxide (CO) poisoning leads to an estimated […]

practice updates

Thromboelastography (TEG®) for Trauma

Editor's note: This article was listed in LITFL Review 154's "Best of #FOAMcc Critical Care" section.

Using thromboelastography in goal-oriented algorithms, clinicians may be able to optimize targeted transfusion therapies with specific coagulation factor(s) instead of empirically administering multiple components with potentially hazardous effects.

practice updates

Capnography in the ED

Continuous quantitative waveform capnography, also known as end-tidal carbon dioxide, PetCO2, or ETCO2, is a measurement of the partial pressure of CO2 in the exhaled breath. This technology has been around since the mid-19th century and only relatively recently has its potential in emergency medicine begun to be explored. [...]

practice updates

The Sick Neonate

Rapid evaluation and management of the sick neonate is a required skill for the emergency physician. Here we present a brief but comprehensive strategy for resuscitating and stabilizing the critically ill neonate as well as some mnemonics for help remembering the differential diagnosis.

practice updates

Pediatric Syncope

"The key to the ED evaluation of pediatric syncope is using the history, physical, and ECG to exclude serious pathology"
Great review of pediatric syncope from Zach Radwine, MD, including red flags, an extensive differential, and normal vs. abnormal peds ECG findings.

practice updates

Massive Blood Transfusion

"There has been ongoing controversy regarding the ratio of components that should be given during massive transfusion"

How do you avoid inducing a coagulopathy in trauma patients requiring massive blood transfusion? Zach Radwine, MD summarizes the recent evidence for the 1:1:1 ratio.

practice updates

Intubating the Critically Ill Patient

"Two independent variables associated with post-ETI arrest: Pre-induction shock index and weight"

Intubating beyond the ABCs: Learn how to support your crashing patient while providing definitive airway management. Zach Radwine, MD covers identification of patients at risk for hypotension, dealing with hemodynamic instability, and how to address the numerous complications that may arise.