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practice updates

Sepsis Biomarkers: What’s New?

Sepsis is a common disease, but sometimes, we need some assistance with the diagnosis and resuscitation of these patients. Can biomarkers help us, or are we wasting time using these measures? What's wrong with just the time-honored history and exam?

practice updates

The Thromboelastogram (TEG®): A Five-Minute Primer for the Emergency Physician

Thromboelastography is a mechanism of assessing coagulation based upon the viscoelastic properties of whole blood, and when compared to other coagulation assessments, this test allows for an assessment of near real-time, in-vivo clotting capacity. The point-of-care assay, which uses graphic interpretation of thromboelastography (the TEG), offers the opportunity for an expedited assessment of coagulopathies (thrombocytopenia, factor deficiency, heparin effect, hypofibrinogenemia, and hyperfibrinolysis). How can you use this modality in the ED? This post is full of pearls on interpreting TEG.

practice updates

FOAMed Resources Part VIII: EMS/Prehospital

The prehospital environment is where emergency medicine begins. EMS providers must function in some of the most difficult conditions with limited supplies. FOAMed can allow emergency providers of all levels to stay up to date with cutting edge resuscitation and prehospital literature. This post evaluates EMS/prehospital FOAMed resources.

practice updates

The Young Cardiac Arrest Patient

Managing the patient in cardiac arrest is both frightening and exhilarating. The majority of arrests in older patients is due to CAD. The young cardiac arrest patient presents a difficult situation for the emergency provider. In general, younger patients are healthier than their geriatric counterparts. There are differences in physiology which may contribute to different prognosis and care. This post reviews the literature behind cardiac arrest in the younger patient.