"There has been ongoing controversy regarding the ratio of components that should be given during massive transfusion"
How do you avoid inducing a coagulopathy in trauma patients requiring massive blood transfusion? Zach Radwine, MD summarizes the recent evidence for the 1:1:1 ratio.
"Think about these substances in a patient with either an opioid, sympathomimetic, or hallucinogenic toxidrome"
Alex Koyfman, MD summarizes the assorted clinical presentations of these three "legal" highs.
"Within the next decade, the incidence of CKD is expected to nearly double"In this article, Matt Smetana, DO describes the common manifestations of hemorrhage in uremic patients, and then outlines strategies to stop the bleeding.
"Weinstock describes gastroenteritis bluntly as 'the refuge of the intellectually destitute'"From the case records of Janus General Hospital, we bring you the first in our series of bouncebacks. Tommy Swanson, MD describes the initial and subsequent visits of a 61 year old female with abdominal discomfort.
"Two independent variables associated with post-ETI arrest: Pre-induction shock index and weight"
Intubating beyond the ABCs: Learn how to support your crashing patient while providing definitive airway management. Zach Radwine, MD covers identification of patients at risk for hypotension, dealing with hemodynamic instability, and how to address the numerous complications that may arise.
"Despite the multitude of studies, the excellent results, and the commonplace use by anesthesiologists for decades, the use of push-dose pressors has not yet made its way into standard emergency medicine practice"For a patient in shock, or with anticipated instability during procedural sedation, push-dose pressors can be a lifesaver. Brendon Browning, DO covers administration of pressors under circumstances in which central lines and infusions either aren't available or aren't needed.
"Patients with hydrocephalus will have nearly 4 scans per year during childhood"
For evaluation of VP shunts in children, the cost and study duration a rapid MRI is closer to CT than you might think (and without the ionizing radiation!). Best of all, the evidence comes from studies performed with populations chiefly less than 5 years of age. In this article, Sean M. Fox, MD makes a strong argument about why rapid MRIs should be a part of your institution's protocol.
"One of the essential instant recognition abnormalities on ECG"Knowing how to spot Wellens' morphology is crucial, but knowing when to expect those ECG changes is the other half of the battle. In this excellent article, Brendon Browning, DO covers the intricacies of this deadly entity, including diagnostic criteria, management pitfalls, and how to identify mimics.
