Category Name: practice updates

practice updates

Ask Me Anything with Scott Weingart, MD (@emcrit)

Live Blog Ask Me Anything with Scott Weingart window.cilAsyncInit = function() {cilEmbedManager.init()};(function() {if (window.cilVwRand === undefined) { window.cilVwRand = Math.floor(Math.random()*10000000); }var e = document.createElement('script');e.async = true;var domain = (document.locat...

practice updates

D-List Superbugs: Influenza

Influenza is spread primarily through large respiratory droplets or contamination of surfaces. About 4 days after exposure patients will typically start to develop an abrupt onset of fever, headache, myalgias or dry cough—generally this presentation will be considered an uncomplicated influenza il...

practice updates

Ask Me Anything with Rob Rogers, MD, FACEP

Live Blog Ask Me Anything with Rob Rogers, MD, FACEP window.cilAsyncInit = function() {cilEmbedManager.init()};(function() {if (window.cilVwRand === undefined) { window.cilVwRand = Math.floor(Math.random()*10000000); }var e = document.createElement('script');e.async = true;var domain = (documen...

practice updates

Lyceum Bullets: DKA

Questions Addressed: When you are suspicious for DKA do you obtain a VBG or an ABG? How good is a VBG for determining acid/base status?Do you use serum or urine ketones to guide your diagnosis and treatment of DKA?Do you use IV bicarbonate administration for the treatment of severe acidosis in DKA? ...

practice updates

Nuances in Resuscitation Part III: Diabetic Ketoacidosis

Thus far we have discussed resuscitation in trauma and sepsis.  What distinguishes those two from the resuscitation goals in DKA is timing.  In trauma and sepsis, it’s all about early recognition, aggressive and quick optimization, and understanding all the possible treatment options at your dis...

practice updates

Nuances in Resuscitation Part II: EGDT In Sepsis

In November 2001, Dr. Manny Rivers and his colleagues published an article in the New England Journal of Medicine on Early Goal Directed Therapy in Sepsis.  At the time, sepsis was not a new concept, nor was the treatment of it.  Where I believe the real genius in EGDT lies is in a fanatical focus...

practice updates

Practical Nuances of Resuscitation – Part I: Not All Are Created Equal

One of my colleagues likes to tell our residents, “they don’t come to the ED to die, they come here to live.”  It is our skill in identifying critically ill patients and successfully resuscitating them that defines us as emergency medicine physicians.  Resuscitation in its simplest term mean...