Take-Home Points: The conditions needed to achieve flow are: Clear goals Immediate feedback Balance between challenge and skill We can use the flow state to supercharge our productivity. Establish clear goals Preform deep work Reflect on shortcomings
Background: Hyponatremia is one of the most common electrolyte abnormalities seen in clinical practice. Under-correction could lead to cerebral edema, whereas overcorrection could result in osmotic demyelination syndrome (ODS). The current recommendation is to use hypertonic saline in small, fixed, ...
Take Home Points There is no strict golden hour for wound closure. Location, contamination and patient factors all should be taken into account Dog bites can be closed primarily. Bites on the hand and foot are higher risk for infection. ...
Background: In 2019 the World Health Organization listed “Antimicrobial Resistance” as a top 10 threat to global health. This was echoed in a 2021 document. The classic medical teaching regarding antimicrobial therapy pushed for longer treatment ...
Background: Head up (HUP) CPR is an emerging concept. The theory behind HUP is it allows for venous blood to drain from the brain to the heart thereby decreasing intracranial pressure and lowering the arterial/venous pressure waves which concuss the brain ...
Background: Non-ST-elevation myocardial infarction (NSTEMI) is defined as acute coronary injury resulting in ischemia and myocardial infarction. The diagnosis is made based on clinical presentation and non-specific electrocardiogram (ECG) changes including ST-segment depression, T-wave inversions, or other nonspecific findings.1 Based ...
Background: It has long been thought that intravenous contrast can lead to acute kidney injury. Recent data, however, has called this dogmatic teaching into question. Unfortunately, the data arguing against the association of contrast with AKI comes from observational trials ...
In emergency medicine, the standard of care is to place an advanced airway for ventilatory or oxygenation failure, impending airway compromise, or inability to protect the airway. A patient with significant cognitive impairment may have depressed gag and/or cough reflexes, ...
In the fall of 2014, while working overnight in the emergency department at a community hospital in NJ, a patient (let’s call him John) presented with ACE inhibitor angioedema. At first glance, his lips were swollen, but his tongue and ...
Take Home Points FBs are a very common complication of wounds. X-ray is poor at detecting foreign bodies US is a tremendous tool and be used dynamically at the bedside to assist w FB extraction Prophylactic antibiotics are not routinely ...
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