recent articles

ultrasound

RUSH ("Rapid Ultrasound for Shock") Protocol

"The RUSH exam provides a framework for approaching the non-traumatic patient in the emergency department presenting with undifferentiated hypotension"
Olabiyi Akala, MD summarizes this set of ultrasound techniques that can help you rapidly determine the etiology of shock in a crashing patient.

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.

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.

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.