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ECG Pointers: CALS versus ACLS

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Articles

practice updates

Intubating the Critically Ill Patient

January 6, 2014
Zach Radwine
16 Comments

"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

Push-Dose Pressors

January 4, 2014
Brendon Browning
4 Comments

"Despite the multitude of studies, the excellent results, and the commonplace use by anesthesiologists for decades, the use of push-dose pressors has not yet made its way into standard emergency medicine practice"

For a patient in shock, or with anticipated instability during procedural sedation, push-dose pressors can be a lifesaver. Brendon

Rapid MRI for VP Shunt Evaluation

January 3, 2014
Sean M. Fox
One Comment

"Patients with hydrocephalus will have nearly 4 scans per year during childhood"

For evaluation of VP shunts in children, the cost and study duration a rapid MRI is closer to CT than you might think (and without the ionizing radiation!). Best of all, the evidence comes from studies performed with populations

Wellens’ Syndrome

January 2, 2014
Brendon Browning
No Comments

"One of the essential instant recognition abnormalities on ECG"

Knowing how to spot Wellens' morphology is crucial, but knowing when to expect those ECG changes is the other half of the battle. In this excellent article, Brendon Browning, DO covers the intricacies of this deadly entity, including diagnostic criteria, management pitfalls,

Dengue Fever

December 31, 2013
Kyle Brown
4 Comments

"Hundreds of thousands of cases of hemorrhagic fever yearly"

Kyle Brown, MD discusses dengue (aka "breakbone") fever in this detailed review, including characteristics of high-risk patients, criteria for making the diagnosis clinically, and current treatment recommendations.

Ventricular Assist Device Management

December 28, 2013
admin
8 Comments

"Some will not have a palpable pulse, and unfortunately, manual BP cannot be obtained. In addition, pulse oximetry is unreliable"

No pulse? No problem! Manpreet Singh, MD covers a stepwise approach to troubleshooting ventricular assist device complications in the emergency department.