Category Name: practice updates

practice updates

A #FOAMed Roadmap to Permissive Hypotension

Included below is a summary of numerous blog posts and podcasts that discuss the sometimes controversial issue of permissive hypotension or minimum volume resuscitation in the bleeding trauma patient. The Basics Idea of keeping BP low in traumatic hemorrhage to avoid “popping the clot” Ba...

practice updates

End Tidal CO2 in TBI

Does End Tidal CO2 correlate with PaCO2 in Traumatic Brain Injury? Your neurosurgeons and trauma team have accepted a transfer to your hospital for intensive management of a trauma patient who presented to a small community hospital with a traumatic subarachnoid hemorrhage and epidural hematoma a...

practice updates

Concussion Update

Concussion is a type of mild traumatic brain injury (TBI) that classically occurs in sports-related incidents but can be due to any traumatic force to the brain. The term concussion stems from the Latin word, concussus, which means “to shake violently." While sport is the most common cause of con...

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

Amiodarone vs Procainamide for Stable VT

Case Scenario: A 38-year-old male with a history of hypertension and an unknown heart defect status post repair in infancy presents to the Emergency Department with acute onset chest pain, dyspnea, and diaphoresis.  He had a similar episode at another hospital 1 month prior that resolved after "so...

practice updates

Spinal Epidural Abscess

"Once the classic symptoms appear and a definitive diagnosis is made, the very symptoms we look for have often become irreversible" Spinal epidural abscess is an extremely rare diagnosis but a potentially devastating one. It has proven to be a difficult ER diagnosis. Unfortunately, once the ...

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

Thyroid Storm Management

A review of the presentation, diagnosis, and management of this rare but deadly condition in the ED by Justin Arndt, MD.