Archive for category: Clinical

Is ATLS wrong about palpable blood pressure estimates?

01 Nov
November 1, 2013

In Advanced Trauma Life Support (ATLS), we learned that a carotid, femoral, and radial pulse correlates to a certain systolic blood pressure (SBP) in hypotensive trauma patients.  Specifically ATLS stated:  Carotid pulse only = SBP 60 – 70 mmHg  Carotid & Femoral pulse only = SBP 70 – 80 mmHg  Radial pulse present = SBP […]

NG Lavage: Indicated or Outdated?

01 Nov
November 1, 2013

Nasogastric lavage (NGL) seems to be a logical procedure in the evaluation of patients with suspected upper GI bleeding, but does the evidence support the logic? Most studies state that endoscopy should occur within 24 hours of presentation, but the optimal timing within the first 24 hours is unclear.  Rebleeding is the greatest predictor of […]

Chest Pain: What is the Value of a Good History?

01 Nov
November 1, 2013

Every year there are 6 million visits to the Emergency Department (ED) for chest pain, and approximately 2 million hospital admissions each year.  This is approximately about 10% of ED visits and 25% of hospital admissions with 85% of these admissions receiving a diagnosis of a non-ischemic etiology to their chest pain (CP).  This over […]

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