Assessing and Finessing: An Airway Update

Securing definitive control of a threatened airway is a fundamental skill in the care of critically ill patients and remains an ever-popular topic of discussion in Emergency Medicine. As Emergency Medicine providers, we find few procedures as satisfying or potentially difficult as airway management; we continually seek to hone our skills to provide the best care possible for our patients. […]

Is PoCUS a reliable predictor of outcome during cardiac arrest?

    Sudden cardiac arrest represents a significant cause of morbidity and mortality worldwide. Over 356,000 out-of-hospital cardiac arrests (OHCA) occur annually in the United States, with resuscitative efforts extending into the Emergency Department (ED) for many of these patients. Prognosis remains dismal, with death occurring in 92%. Background While PoCUS is frequently used to guide resuscitation, the question remains […]

Full Study Report of Andexanet Alfa for Bleeding Associated with Factor Xa Inhibitors

Journal Club Summary Methodology: 2.5/5 Usefulness: 2/5 Connolly SJ, et al. N Engl J Med. 2019 Feb 7. Question and Methods: This was the first trial looking at clinical outcomes for reversal of factor Xa inhibitor anticoagulation in major bleeding episodes using the specific reversal agent, Andexanet alfa. It was a multi-centre, open label trial without a comparison group. Findings:¬†They […]

Life in the balance: Why fluid choice matters in the Emergency Department

IV fluid is a drug Intravenous fluid administration is the second most common medical intervention next to supplemental oxygen.1¬† Over 200 million liters of normal saline (NS) is used in the United States annually.2 Intravenous fluids, like any other drug, should be given with thought and knowledge about the effects and sequelae to your patient. The origin of IV fluids […]