Category Name: From @EMSwami

From @EMSwami

Cardiogenic Shock

Click here to view Tintinalli's chapter on Cardiogenic Shock via Access Emergency Medicine!A 55-year-old man arrives via ambulance in respiratory distress. Paramedics attempted to start an intravenous line but the patient is altered and pulled it out. They were also unable to keep an NRB mask on him...

From @EMSwami

IV Contrast Myths

"Premedication with corticosteroids has never been shown to reduce the risk of moderate or severe adverse drug reactions"We're thrilled to present another game-changing writeup from Anand Swaminathan, MD MPH (@EMSwami), this time on the conundrums of shellfish allergies and utility of premedication in patients receiving IV contrast.

From @EMSwami

Myths in DKA Management

"The bolus insulin group had longer lengths of stay and a 6-fold increase in hypoglycemic episodes"Anand Swaminathan, MD MPH (@EMSwami) addresses urban legends in DKA management, including VBGs vs ABGs, when to replete potassium, bicarb administration, and insulin boluses.

From @EMSwami

Epinephrine in Cardiac Arrest

"It’s time to re-examine this recommendation"Epinephrine in cardiac arrest: helpful for ROSC, but maybe not so much for good neurological outcomes. Anand Swaminathan, MD MPH takes a thought-provoking look at the historical evidence behind this practice, as well as at newer evidence that calls its benefit into question.

From @EMSwami

Furosemide in the Treatment of Acute Pulmonary Edema

"The continued central role [loop diuretics] play highlights a lack of understanding of the underlying pathophysiology of the disease"In this excellent article, Anand Swaminathan, MD, MPH dissects the evidence to challenge common perceptions regarding the utility of furosemide in patients with APE.