recent articles

practice updates

Ketamine for Analgesia in the ED

"Ketamine provides excellent analgesia with no or minimal effects on perception or emotion"
We are very excited to bring you a post from Reuben Strayer, MD (@emupdates) on ketamine as an alternative to opiates for pain relief in the ED. The discussion highlights indications for use, dosing recommendations, and how to avoid potentiating the medication's psychiatric effects.

practice updates

Update: Analgesia and Sedation in the Intubated ED Patient

"Targeting light sedation within the first twelve hours of intubation decreases morbidity and mortality"
Taking a thoughtful approach toward keeping your intubated patient comfortable is not just the humane thing to do - it can make a big difference in their ultimate outcome. Rachel Shard, MD discusses strategies for pain relief and sedation in these patients, including prioritization of analgesia and the pros/cons of propofol, benzos, and dexmedetomidine.

practice updates

Carotid Artery Dissection

"Significant cause of strokes in young/middle aged patients"
Olabiyi Akala, MD summarizes the signs, symptoms, and imaging options for making the diagnosis of carotid artery dissection, and discusses current controversies in management.

ultrasound

RUSH ("Rapid Ultrasound for Shock") Protocol

"The RUSH exam provides a framework for approaching the non-traumatic patient in the emergency department presenting with undifferentiated hypotension"
Olabiyi Akala, MD summarizes this set of ultrasound techniques that can help you rapidly determine the etiology of shock in a crashing patient.

practice updates

Cauda Equina Syndrome

"Recent studies have suggested that the timing of surgery may be less important for overall outcomes. Rather, outcomes may be more related to the extent of cord compression at presentation"

Jennifer Robertson, MD, MSEd brings us an update on cauda equina syndrome, including making the diagnosis, timing of surgery, and medicolegal risks.