Category Name: practice updates

practice updates

Pediatric Cardiogenic Shock

Pediatric cardiogenic shock is an often insidious phenomenon with presentations requiring a broad differential diagnosis. Even after narrowing the diagnosis to cardiogenic shock, the list of possible etiologies is vast and the cause important to determine because the source of the shock will respond differently to different treatments.

practice updates

Roc Rocks and Sux Sucks! Why Rocuronium is the Agent of Choice for RSI

I recently had the pleasure of engaging in a point-counterpoint discussion on the optimal agent for Rapid Sequence Intubation with Billy Mallon at Essentials of Emergency Medicine 2014. I took the pro-rocuronium side. For decades, succinylcholine (suxamethonium) was the paralytic agent of choice (a...

practice updates

Power Review: Transplant Patient Management

The transplant patient is always sicker than they appear. It is important to be aggressive in these patients since they are severely immunocompromised which not only puts them at greater risk of infection but also blunts their normal signs to infection. Always contact the transplant team to help wit...

practice updates

EKG Practice #3

Ray Fowler, MD is Professor of EM / EMS at UTSW / Parkland. Edited by Alex Koyfman, MD. Case #1 This 77 female presents with chest discomfort of several hours duration. She has a hx of stable angina, and she has not had any coronary intervention. On this evening, her discomfort worsened, and she c...

practice updates

To the HEART of the matter

The HEART score is an invaluable adjunct to emergency physicians when deciding which chest pain patients are appropriate for early discharge.

practice updates

What’s New: A Review of the Sepsis Literature

There have been a number of new publications reviewing our approach to managing sepsis. Both the ProCESS Trial and ARISE trial published in 2014 editions of the New England Journal question whether invasive procedures and rigid protocols are required to have positive patient outcomes. Other studies ...

practice updates

Ask Me Anything With Mike Stone, MD (@bedsidesono)

Update: This AMA will be happening Friday, December 12th from Noon-1:30pm EST. We're very pleased to announce that our next Ask Me Anything will be with Mike Stone, MD, RDMS. Dr. Stone is the Division Chief of Emergency Ultrasound and the Emergency Ultrasound Fellowship Director at Brigham and Women...