by Adam Parks, Robert Suttie | Nov 8, 2018 | Featured, Ultrasound
For other POCUS focused cases please see our ultrasound archives Case The next chart you pick up is for an 87 year-old female brought in by EMS from her nursing home for agitation and vomiting. She is afebrile and her vital signs are normal. She has a past medical...
by Hans Rosenberg | Nov 5, 2018 | Anesthesiology, Journal Club, landmark
Journal Club Summary Methodology Score: 4/5 Usefulness Score: 5/5 Nath S, et al. Lancet. 2018 Mar 24;391(10126):1197-1204 Question and Methods: This meta-analysis sought to determine, in lumbar punctures, whether atraumatic or conventional (traumatic) spinal needles...
by Jim Yang, Richard Hoang | Nov 1, 2018 | Airway, Anesthesiology, Featured, Grand Round Summaries, Procedural care
In this two part series, we are delving into a few of the many controversies regarding procedural sedation and explore how to reduce resource utilization and ED length of stay. In PART 1, we discussed preprocedural fasting and concluded that adherence to fasting...
by Hans Rosenberg | Oct 29, 2018 | cardiac arrest, Cardiology, Critical Care, Journal Club, Resuscitation
Journal Club Summary: A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest Methodology Score: 4/5 Usefulness Score: 3.5/5 Perkins GD, et al N Engl J Med. 2018 Jul 18. Editorial: Testing Epinephrine for Out-of-Hospital Cardiac Arrest. Callaway CW, et...
by Ariel Hendin, Richard Hoang | Oct 25, 2018 | Critical Care, Grand Round Summaries, Resuscitation
When we are caring for a septic patient in the ED, we know that aggressive care with early antibiotics and ensuring adequate preload saves lives. But what do we do when we aren’t sure if more fluid will help any longer? How can we finesse our fluid...