Category Name: practice updates

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

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.

practice updates

Electronic Cigarettes and Liquid Nicotine Poisoning

"The delayed phase consists of cns and respiratory depression, dyspnea, bradycardia, hypotension, shock, mydriasis, weakness, muscle paralysis, and coma"We are very pleased to present you with this overview on the potential dangers of electronic cigarettes and liquid nicotine from the toxicologists at UT Southwestern.

practice updates

Asymptomatic Hypertension

"We should only intervene under very specific circumstances"Asymptomatic hypertension in the ED: Should we be screening for end-organ damage? Should we intervene? Joshua Bucher, MD covers the 2013 ACEP Clinical Policy addressing these common questions.