"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.
"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.
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.
We are excited to introduce a new medium for better connecting the FOAM EM community!  On June 19th from 3-5pm EST emdocs.net will host an “Ask Me Anything” featuring Dr. Reuben Strayer (@EMUpdates, emupdates.com), EM Doc extraordinaire!
"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.
We're grateful to Mathew Miskimon, MD PhD for providing this morbidity and mortality (and improvement!) case from Janus General. Includes a nice discussion at the end on the systemic factors contributing to the outcome.
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!
A diagnostic dilemma from the case files of Janus General. The presentation of this clinical zebra is provided by one of our esteemed editors, Adaira Landry, MD (@AllAroundDoc).
