Archive for category: Clinical

The PESIT Trial: Do All Patients with 1st Time Syncope Need a Pulmonary Embolism Workup?

24 Oct
October 24, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Syncope is a very frustrating chief complaint for many in the medical field.  There is no gold standard test and no validated decision instrument. It represents about 3 – 5% of ED visits, 1 – 6% of hospital admissions, and in patients over the age of 65 years […]

American College of Emergency Physicians (ACEP) Conference 2016

20 Oct
October 20, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThis years ACEP 2016 conference took place in Las Vegas, NV from Oct 16th – 19th.  There was greater than 350 courses, labs, and workshops given throughout the week.  It was impossible to make all of these great lectures, but I was able to take away some very important […]

Hyperthermia Syndromes

17 Oct
October 17, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketDefinition: A life-threatening emergency in which there is a failure of the body’s thermoregulatory mechanisms to handle extrinsic and intrinsic heat. The failure of thermoregulation leads to multi-system organ dysfunction characterized by alteration of neurologic function. Unlike in fever, hyperthermia is not caused by endogenous pyrogens that change the […]

October 2016 REBEL Cast: IDSA Pneumonia Update

10 Oct
October 10, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketEvery few years we get updates in the guidelines based on new evidence. Guidelines give us a framework to work with in the treatment of disease processes, such as pneumonia. The last Infectious Disease Society of America (IDSA) guidelines update on the treatment of pneumonia came from 2005, but […]

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 […]

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