Category Name: practice updates

practice updates

Ketamine for Analgesia in the ED

"Ketamine provides excellent analgesia with no or minimal effects on perception or emotion"We are very excited to bring you a post from Reuben Strayer, MD (@emupdates) on ketamine as an alternative to opiates for pain relief in the ED. The discussion highlights indications for use, dosing recommendations, and how to avoid potentiating the medication's psychiatric effects.

practice updates

Update: Analgesia and Sedation in the Intubated ED Patient

"Targeting light sedation within the first twelve hours of intubation decreases morbidity and mortality"Taking a thoughtful approach toward keeping your intubated patient comfortable is not just the humane thing to do - it can make a big difference in their ultimate outcome. Rachel Shard, MD discus...

practice updates

Sepsis Update: Lactate, Antibiotics, and Procalcitonin

"Some have questioned exactly which parts of the bundle are beneficial, which parts are not, and which parts may be causing harm"Steven Whelpley, DO reviews the recent literature on sepsis recognition and treatment in the ED.

practice updates

Carotid Artery Dissection

"Significant cause of strokes in young/middle aged patients"Olabiyi Akala, MD summarizes the signs, symptoms, and imaging options for making the diagnosis of carotid artery dissection, and discusses current controversies in management.

practice updates

Cauda Equina Syndrome

"Recent studies have suggested that the timing of surgery may be less important for overall outcomes. Rather, outcomes may be more related to the extent of cord compression at presentation"Jennifer Robertson, MD, MSEd brings us an update on cauda equina syndrome, including making the diagnosis, timing of surgery, and medicolegal risks.

practice updates

Vaginal Bleeding in the Non-Pregnant Patient

"PALM-COEIN separates the differential for vaginal bleeding into structural and non-structural causes"Jason Kan, MD covers the various causes and ED management strategies for severe vaginal bleeding in non-pregnant patients.

practice updates

Massive Blood Transfusion

"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.