practice updates Archives - Page 43 of 44

Update: Analgesia and Sedation in the Intubated ED Patient

4 Comments / practice updates / Rachel Shard

“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 discusses strategies for pain relief and sedation in these patients, including prioritization of analgesia and the pros/cons of propofol, benzos, and dexmedetomidine.

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Sepsis Update: Lactate, Antibiotics, and Procalcitonin

5 Comments / practice updates / Steven Whelpley

“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.

Sepsis Update: Lactate, Antibiotics, and Procalcitonin Read More »

Carotid Artery Dissection

2 Comments / practice updates / Olabiyi Akala

“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.

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Cauda Equina Syndrome

5 Comments / practice updates / Jennifer Robertson

“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.

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An Unusual Cause of Pelvic Pain

1 Comment / practice updates / Rachel Wightman

Rachel Wightman, MD presents the case of a 33 year-old female with two days of pelvic and rectal pain.

An Unusual Cause of Pelvic Pain Read More »

Vaginal Bleeding in the Non-Pregnant Patient

4 Comments / practice updates / Jason Kan

“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.

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Massive Blood Transfusion

9 Comments / practice updates / Zach Radwine

“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.

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Alternative "Legal" Highs: Kratom, Salvia Divinorum, Methoxetamine

2 Comments / practice updates, TOXCards / Alex Koyfman

“Think about these substances in a patient with either an opioid, sympathomimetic, or hallucinogenic toxidrome”

Alex Koyfman, MD summarizes the assorted clinical presentations of these three “legal” highs.

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Bleeding in the Patient with Renal Failure

1 Comment / practice updates / Matt Smetana

“Within the next decade, the incidence of CKD is expected to nearly double”

In this article, Matt Smetana, DO describes the common manifestations of hemorrhage in uremic patients, and then outlines strategies to stop the bleeding.

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Intubating the Critically Ill Patient

16 Comments / practice updates / Zach Radwine

“Two independent variables associated with post-ETI arrest: Pre-induction shock index and weight”

Intubating beyond the ABCs: Learn how to support your crashing patient while providing definitive airway management. Zach Radwine, MD covers identification of patients at risk for hypotension, dealing with hemodynamic instability, and how to address the numerous complications that may arise.

Intubating the Critically Ill Patient Read More »

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Pages

Legal

Popular

Informative

Reposts

All

practice updates

Update: Analgesia and Sedation in the Intubated ED Patient

Sepsis Update: Lactate, Antibiotics, and Procalcitonin

Carotid Artery Dissection

Cauda Equina Syndrome

An Unusual Cause of Pelvic Pain

Vaginal Bleeding in the Non-Pregnant Patient

Massive Blood Transfusion

Alternative "Legal" Highs: Kratom, Salvia Divinorum, Methoxetamine

Bleeding in the Patient with Renal Failure

Intubating the Critically Ill Patient