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Journal Feed Weekly Wrap-Up

Journal returns with spacers for pediatric wheezing, observation duration after epinephrine for anaphylaxis, and DOAC choice in VTE.

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    Articles

    • practice updates

    D-List Superbugs: Influenza

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    Influenza is spread primarily through large respiratory droplets or contamination of surfaces. About 4 days after exposure patients will typically start to develop an abrupt onset of fever, headache, myalgias or dry cough—generally this presentation will be considered an uncomplicated influenza illness. Symptoms usually resolve after 3-7 days from onset.
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    • practice updates

    CT Versus Ultrasound for Kidney Stones

    • 4 Comments
    Diagnose your patients faster, improve ED flow, and avoid unnecessary ionizing radiation,
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    Ask Me Anything with Rob Rogers, MD, FACEP

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    Live Blog Ask Me Anything with Rob Rogers, MD, FACEP
     
    window.cilAsyncInit = function() {cilEmbedManager.init()};(function() {if (window.cilVwRand === undefined) { window.cilVwRand = Math.floor(Math.random()*10000000); }var e = document.createElement('script');e.async = true;var domain = (document.location.protocol == 'http:' || document.location.protocol == 'file:') ? 'http://cdnsl.coveritlive.com' : 'https://cdnslssl.coveritlive.com';e.src = domain + '/vw.js?v='
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    Lyceum Bullets: DKA

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    Questions Addressed:

    • When you are suspicious for DKA do you obtain a VBG or an ABG? How good is a VBG for determining acid/base status?
    • Do you use serum or urine ketones to guide your diagnosis and treatment of DKA?
    • Do you use IV bicarbonate administration for the treatment of severe
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    Nuances in Resuscitation Part III: Diabetic Ketoacidosis

    • 6 Comments
    Thus far we have discussed resuscitation in trauma and sepsis. What distinguishes those two from the resuscitation goals in DKA is timing. In trauma and sepsis, it’s all about early recognition, aggressive and quick optimization, and understanding all the possible treatment options at your disposal. In the management of DKA,
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    Nuances in Resuscitation Part II: EGDT In Sepsis

    • 8 Comments
    In November 2001, Dr. Manny Rivers and his colleagues published an article in the New England Journal of Medicine on Early Goal Directed Therapy in Sepsis. At the time, sepsis was not a new concept, nor was the treatment of it. Where I believe the real genius in EGDT lies
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    Non-convulsive status epilepticus

    Underdiagnosed and associated with significant morbidity/mortality

    Major risk factor is convulsive status/history of seizure

    Look at eyes, face, fingers, feet for subtle movements -> If present, patient seizing

    Be concerned if patient remains post ictal/does not improve for significant time

    Treatment: Benzos + anti-seizure meds
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