Category Name: practice updates

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

mHealth: Can text message based education lower Hb A1C?

"Programs like TExT-MED represent a powerful opportunity to expand the domain of emergency medicine"Can texting reminders to ED patients with diabetes improve their A1C? Scott Kobner discusses the recent TExT-MED trial from June 2014 Annals of EM.

practice updates

Be Skeptical… EM Myths and Their Evidence

"There are few hard truths in our field, even in this age of evidence-based practice" Widely-held and taught ideas whose time has passed: Here are eight (!) EM myths from Ryan Dietert, MD.

practice updates

Aggressive BP Management in Patients with ICH

"The patient was hypertensive with SBP in 220s...a stat CT scan revealed a large intraparenchymal hemorrhage"What's the goal BP in a patient with ICH? How quickly should that target be reached? What's the evidence? Ben Cooper, MD addresses these questions and more in this review of the recent literature.

practice updates

NAC for Prevention of Contrast-Induced Nephropathy

"In patients with CIN risk factors, there is currently insufficient evidence to recommend routine NAC use" Thanks to Artur Pawlowicz, MD and Matthew Ryan, MD, Ph.D. for this overview of the literature on the role (or lack thereof) of n-acetylcysteine in preventing contrast-induced nephropathy.

practice updates

Lipid Emulsion Therapy

"The lack of high-quality controlled human studies precludes ILE as a first-line agent for indications other than local anesthetic systemic toxicity" Thanks to James Cao, MD for this excellent review of the literature on the use of ILE therapy in various toxicologic emergencies.

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

Massive Vaginal Bleeding

"Packing may be the most effective hemostatic temporizing measure that can be performed in the ED" Jessica Lopez, MD discusses the management of the non-pregnant patient with severe vaginal bleeding, including tamponade techniques and the utility of tranexamic acid.