"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.
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!
"Packing may be the most effective hemostatic temporizing measure that can be performed in the ED" Jessica Lopez, MD discusses the management of the non-pregnant patient with severe vaginal bleeding, including tamponade techniques and the utility of tranexamic acid.
"The delayed phase consists of cns and respiratory depression, dyspnea, bradycardia, hypotension, shock, mydriasis, weakness, muscle paralysis, and coma"We are very pleased to present you with this overview on the potential dangers of electronic cigarettes and liquid nicotine from the toxicologists at UT Southwestern.
"We should only intervene under very specific circumstances"Asymptomatic hypertension in the ED: Should we be screening for end-organ damage? Should we intervene? Joshua Bucher, MD covers the 2013 ACEP Clinical Policy addressing these common questions.
"Untoward patient-centered effects had not definitively been demonstrated until recently"Nick Johnson, MD (@NickJohnsonMD) discusses the recent evidence comparing isotonic saline with balanced fluids for resuscitation of septic patients.
"The LMA also serves as a well documented rescue device for 'can’t intubate, can’t ventilate' situations"Daniel Ostermayer, MD compares the various extraglottic airway devices available for adult and pediatric patients.
"Higher d-dimer levels correlate with more segments of the aorta involved, with false lumen type dissections, and with higher mortality rates"D-dimer has great sensitivity for aortic dissection, but its true clinical utility in the workup of this high-risk diagnosis remains undefined. Tim Schaefer, MD reviews diagnosis and management, as well as the recent literature on the role of the d-dimer.
