Fibrinolysis in Acute Pulmonary Embolism

Systemic fibrinolysis (SF) in acute pulmonary embolism (PE) remains a hot topic in acute care medicine. This post will examine the available literature regarding the use of SF in different subtypes of PE. Before examining the literature, we first must review the relevant nomenclature. Defining PE The American Heart Association (AHA) defines “massive” pulmonary embolism as an acute PE that […]

Video versus Direct Laryngoscopy: Calling for Truce in the Arms Race

    Airway management in the Emergency Department (ED) is challenging. Given the critically ill and physiologically unstable patients, complicated by c-spine collars, distorted anatomy, and airway contamination – the stakes are high. Recent evidence draws attention to an adverse event rate of approximately 8-12% in the ED.1–3 Even more daunting is that with successive attempts, the complication rate rises […]