Archive for category: Clinical

Critical Care Updates: Resuscitation Sequence Intubation – pH Kills (Part 3 of 3)

03 Oct
October 3, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket This blog post is the third part of a series of 3, on a recent lecture I was asked to give  on Critical Care Updates: Resuscitation Sequence Intubation. This talk was mostly derived from a podcast by Scott Weingart (Twitter: @EMCrit) where he talked about the physiologic killers during preintubation […]

Critical Care Updates: Resuscitation Sequence Intubation – Hypoxemia Kills (Part 2 of 3)

29 Sep
September 29, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket This blog post is the second part of a series of 3, on a recent lecture I was asked to give  on Critical Care Updates: Resuscitation Sequence Intubation. This talk was mostly derived from a podcast by Scott Weingart (Twitter: @EMCrit) where he talked about the physiologic killers during preintubation […]

Critical Care Updates: Resuscitation Sequence Intubation – Hypotension Kills (Part 1 of 3)

26 Sep
September 26, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket This blog post is the first part of a series of 3, on a recent lecture I was asked to give  on Critical Care Updates: Resuscitation Sequence Intubation. This talk was mostly derived from a podcast by Scott Weingart (Twitter: @EMCrit) where he talked about the physiologic killers during preintubation […]

Beyond ACLS: Cognitively Offloading During a Cardiac Arrest

22 Sep
September 22, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketToday I am giving a talk at the 25th National Emergency Medicine Symposium by Kaiser Permanente in Maui, HI.  The focus of this talk was on how to cognitively offload our minds as we are running a resuscitation. ACLS provides us with a framework in treating adult victims of Cardiac Arrest […]

September 2016 REBEL Cast: Refractory Ventricular Fibrillation

05 Sep
September 5, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Welcome back to the September 2016 REBEL Cast. We are back with another episode and I am super excited about this episode because we are going to talk about two papers just published in the Resuscitation Journal on management of refractory ventricular fibrillation. It is a well known fact […]

Euglycemic DKA: It’s not a Myth

18 Aug
August 18, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Diabetic ketoacidosis (DKA) is traditionally defined as a triad of hyperglycemia (>250mg/dL), anion gap acidosis, and increased plasma ketones. There is another entity that providers must be aware of known as euglycemic DKA (euDKA), which is essentially DKA without the hyperglycemia (Serum glucose <200 mg/dL). Euglycemic DKA is […]

REBELCast: The PROCAMIO Trial – IV Procainamide vs IV Amiodarone for the Acute Treatment of Stable Wide Complex Tachycardia

15 Aug
August 15, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: In the ACLS guidelines stable Ventricular Tachycardia (VT) can be treated with either IV amiodarone or IV procainamide, as the drugs of choice. This has been given a class II recommendation, but there has not been a controlled prospective trial to base the use of one drug over […]

Single Dose Dexamethasone or 5 Days of Prednisone in Adult Asthmatics?

11 Aug
August 11, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Acute asthma presentations account for more than 2.1 million Emergency Department (ED) visits annually. In the US, 8.4% of the population is affected by the disease. Current guidelines from the National Heart, Lung, and Blood Institute recommend a minimum of 5 days of oral prednisone to treat moderate to […]

Macrolide Antibiotics, Prolonged QTc, and Ventricular Dysrhythmias

08 Aug
August 8, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: When it comes to treating community acquired respiratory tract infections, macrolide antibiotics (azithromycin, clarithromycin, and erythromycin) are a common choice of agent. In 2010, 57.4 million macrolide prescriptions were written in the U.S. with azithromycin being the most commonly prescribed individual antibiotic agent overall with ~51.5 million prescriptions (Hicks […]

Intensive Blood Pressure Control Doesn’t Benefit Patients with Acute Cerebral Hemorrhage (ATACH-2)

04 Aug
August 4, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Hemorrhagic stroke accounts for only 11-22% of all strokes but up to 50% of all stroke mortality. Additionally, there is significant disability associated with the disease in survivors. Much of our attention in the Emergency Department (ED) is guided towards preventing expansion of bleeding and secondary injury after […]

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