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Yellowstone Advanced Airway Course Pearls

"This procedure (cricothyrotomy) is a bloody mess and very tactile, you want to feel your landmarks before making each cut"
Adaira Landry, MD with her top ten pearls from Dr. Richard Levitan's recent airway course in Yellowstone.

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.

Ask Me Anything

Ask Me Anything: Reuben Strayer, MD

Thanks to Reuben Strayer for letting us ask him anything. He covered resident education, how to think like an ED physician, practice pearls including ketamine analgesia, chest tube insertion, awake intubation and much more. Follow him at @EMUpdates or check out his latest work on emupdates.com.

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.