We are experts at airway management, but some scenarios can be tricky… This edition of the emDocs Podcast covers managing the high-risk airway, specifically metabolic acidosis and shock/hypotension.
emDOCs Podcast – Episode 15: High-Risk Airway Management Part 1 Read More »
Ultrasound of the IVC is the people’s volume responsiveness test. The idea is that you can non-invasively tell if a patient will benefit from getting more IV fluids. Everybody wants this to work so we can have a simple test to help us in critical situations. It is more reliable in mechanically ventilated patients with a fixed tidal volume but how about the non-intubated patient? Can we trust it?
Ultrasound G.E.L. – Inferior Vena Cava Collapsibility for Fluid Responsiveness Read More »
This week Clay brings you some great literature on RSI sedative/paralytics, pediatric hypotension, and the bystander effect in the ED.
Journal Feed Weekly Wrap-Up Read More »
The patient with flu-like illness and diffuse erythroderma who appears sick… What should you consider? Could it be toxic shock syndrome? This post provides keys in the evaluation and management of toxic shock syndrome, as well as a downloadable handout.
Toxic Shock Syndrome: Keys in Diagnosis and Management Read More »
Taking care of critically ill patients that require intubation can be a high stress situation, with little room for error. In part one of this series we will discuss some useful strategies at the bedside to help us reduce pre-intubation/peri-intubation hypotension.
Toxic shock is a difficult diagnosis, unfortunately often missed. If not diagnosed, the disease can result in significant mortality. This post evaluates pearls and pitfalls in the evaluation and management of this dangerous disease.
Staphylococcal toxic shock syndrome: EM-focused highlights Read More »
Treat the patient, not the number. A blood pressure of 120/80 mmHg in a chronically hypertensive patient can be dangerously low. Whatever the HPI may suggest, unbiased implementation of the bedside physical examination and sonography are crucial in the workup of unexplained hypotension. This four step systematic approach of sequentially assessing heart rate, volume status, cardiac performance, and systemic vascular resistance can narrow the differential and guide management.
The Hypotensive ED Patient: A Sequential Systematic Approach Read More »
Included below is a summary of numerous blog posts and podcasts that discuss the sometimes controversial issue of permissive hypotension or minimum volume resuscitation in the bleeding trauma patient.
Disclaimer: These are highlights as interpreted by the author of this article and should not replace listening to the original podcast or reviewing the background research. Posts are in chronological order and many of the below podcasts go beyond the scope of permissive hypotension. […]
A #FOAMed Roadmap to Permissive Hypotension Read More »