Author Archive for: srrezaie

Apneic Oxygenation (ApOx): A Review of the Evidence in Critical Care & Emergency Medicine

17 Jul
July 17, 2017

Background: Apneic oxygenation (ApOx) is the passive flow of oxygen into the alveoli during apnea.  This passive movement occurs due to the differential rate between alveolar oxygen absorption and carbon dioxide excretion producing a mass flow of gas from the upper respiratory tract into the lungs.  Another important component of this maneuver is maintaining a patent airway so that supplemental oxygen administered through the nares is able to be delivered to the alveoli.  This practice has been a game changer in emergency airway management for many providers.  However, there are still some naysayers that believe in the sickest patients ApOx may not be so beneficial. This post is a review of two recent systematic reviews/meta-analyses published in the critical care and ED/retrieval settings on the use of ApOx. Read more →

The EM Mindset

12 Jul
July 12, 2017

The American College of Emergency Physicians (ACEP) defines Emergency Medicine (EM) as:

“The initial evaluation, diagnosis, treatment, and disposition of any patient requiring expeditious medical, surgical, or psychiatric care.”

I would take this a step further and say these patients are often undifferentiated and come at all hours of the day/night. As the EM physician we are constantly risk stratifying and ruling out life-threatening issues with limited information and time.  So what are the things I think will give you a successful EM mindset? Read more →

Don’t Kill Your Audience with Bulletpoints

10 Jul
July 10, 2017

It is impossible for the audience to read and listen at the same time.  A person can task switch, but cannot multitask, therefore if they are reading your slides, they are not listening to you.  Vision is one of our most important senses.  It is a well-known fact that the a significant portion  of our brain is wired for vision, therefore, try to find a single image that encompasses the main message of your slide, then use your actual voice to fill in the blanks. It takes our brains longer to process text-based information than it does visual information.
Read more →

Redo Data

06 Jul
July 6, 2017

If there’s one thing that bothers me most in presentations, it’s this: the insertion of data tables into slides.  Often times you’ll see snapshots of random tables taken from an article PDF filled with rows of numbers, p-values, and confidence intervals, occasionally accompanied by the quote, “As you can clearly see from the data.” Read more →

Alternative Headache Therapies

15 Jun
June 15, 2017

Background: Presentations to the Emergency Department for acute headache are remarkably common, with more than 2 million visits each year in the United States (Goldstein 2006). Emergency clinicians are tasked with dual roles of excluding life-threatening pathology while rendering effective pain relief and symptomatic care. Treatment patterns for isolated benign headache are widely variable, reflecting the array of symptoms and diversity of therapeutic response among patients presenting for care. One observational cohort of ED patients reported the routine use of 36 different medications for the treatment of headache, with most patients receiving more than one parenteral agent, as well as frequent use of opioid therapy despite recommendations to avoid the same except as a last resort (Vinson 2002). While a variety of effective medications are available for treatment of primary headache in the Emergency Department, including NSAIDs, neuroleptics, anti-emetics, anti-epileptics, and more, there is a growing interest in alternative headache therapies that offer rapid relief without the side effects and time investment of more traditional agents. Read more →

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