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Journal Feed Weekly Wrap-Up

Journal Feed covers adenosine dosing for SVT, cath lab activation after OHCA ROSC, and calcium in whole blood resuscitation.

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    Articles

    • em@3am

    EM@3AM: Corneal Transplant Complications

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    A 61-year-old male with a history of bilateral corneal transplants due to Fuchs' endothelial dystrophy presents with progressive visual decline in his right eye over the past three days. He describes associated redness, photophobia, and mild foreign body sensation. He denies trauma but acknowledges inconsistent use of his prescribed steroid
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    • TOXCards

    ToxCard: Nitrous Oxide Use in the ED

    • One Comment
    How can you use nitrous oxide in the ED?
    Tox Cards Large
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed brings you intensive BP lowering in stroke, liberal versus conservative fluid resuscitation in CHF and sepsis, and rewarming hypothermic patients.
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    • electrocardiography

    ECG Pointers: Having hard conversations causes … Vtach?

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    ECG Pointers looks at ventricular tachycardia.
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    • In the Literature, practice updates

    Guideline Update: 2025 IDSA Management of Complicated UTI

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    This post summarizes the major IDSA guidelines updates on the treatment of complicated UTI.
    IDSA Complicated UTI Guideline Updates header.
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    • em@3am

    EM@3AM: Thyrotoxic Periodic Paralysis

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    A 28-year-old otherwise healthy male presents for an acute episode of bilateral lower extremity weakness causing him to fall in the bathroom. The episode started approximately 30 minutes prior to arrival. He had a similar episode three months prior which resolved quickly during his ED visit. Neuro exam includes intact
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    Multiple sclerosis

    Immune-mediated, demyelinating disease, separated in time and space, females > males

     

    Presents with exacerbations, med complications, or some other condition (most common)

     

    New neuro symptom = true exacerbation -> steroids

     

    Worsening of prior neuro symptoms = pseudoexacerbation -> find and treat underlying trigger (infection)

     

    Avoid fever; worsens symptoms

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