Background Information: Central venous catheterization is a common procedure performed in the ICU for the purposes of drug administration and resuscitation. The subclavian vein is the more preferred access site given its fixed puncture location, ease for nursing access and low ...
Background Information: Ultrasound guided peripheral and central venous access has become more common while simultaneously decreasing complications and increasing first pass success. Landmark guided palpation has historically been considered the standard of care when placing arterial lines, however the use ...
Background: There have been lots of trials sitting on my computer desktop awaiting my review, but like many of you time has been thin from clinical work and increasing cases of COVID-19 where I work. I thought it might be ...
Background: The well-established, standard treatment for acute appendicitis is surgical appendectomy. However, recent research has challenged the dominance of the surgical approach in looking at antibiotics alone. The available literature on non-operative treatment of appendicitis (NOTA) has important limitations: exclusion ...
Take Home Points Watch for continued bleeding in excess of 500 ml or bleeding that is “more than normal.” Call it postpartum hemorrhage and start resuscitation Call your obstetric and/or surgical consultants early as operative intervention is often required Replace ...
Background/Introduction: The use of Sodium Bicarbonate (SB) in cardiac arrest has had a complicated history with strong and varied opinions on its effectiveness. SB was recommended in earlier ACLS guidelines, mostly stemming from the notion that severe metabolic acidosis due to ...
Babesiosis Epidemiology Incidence: Overall annual incidence rose from 0.6 to 0.9 cases per 100,000 in the United States between 2012 and 2015 (Gray 2019) Annual incidence is highest in those between 60-69 years of age (Gray 2019) Age: Median age ...
Rocky Mountain Spotted Fever (RMSF) Epidemiology Incidence: Overall annual incidence rose from 1.7 to 7 cases per million in the United States between 2000 and 2007 (Openshaw 2010) Annual incidence is highest in children aged 5-9 years of age (Amsden ...
Ehrlichiosis Epidemiology Incidence: Overall annual incidence noted to be 3.2 cases per million in the United States between 2008 and 2012 (Biggs 2016) Highest incidence occurs in those 60-69 years of age (Biggs 2016) Age: Median age is 55 years ...
Anaplasmosis Epidemiology Incidence: Overall annual incidence rose from 1.4 to 6.1 cases per million in the United States between 2000 and 2010 (Ismail 2017) In endemic areas, the incidence rate is suggested to be more than 50 cases per 100,000 ...
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