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All Categories
  • All Categories
  • Abdominal and Gastrointestinal
  • Allergy and Immunology
  • Cardiovascular
  • Dermatology
  • EMS and Disaster
  • Endocrine, Metabolic, Fluid, and Electrolytes
  • Environmental
  • Ethical and Legal
  • Head, Eye, Ear, Nose, and Throat
  • Hematology and Oncology
  • Human Behavior
  • Infectious Disease
  • Neurology
  • Obstetrics and Gynecology
  • Orthopedics
  • Pediatrics
  • Procedures and Skills
  • Psychiatry/Behavioral Health
  • Renal and Genitourinary
  • Resuscitation
  • Team Performance
  • Thoracic and Respiratory
  • Toxicology
  • Trauma

ResusTO: A Simulation/Resuscitation Conference Like No Other

This past week, one hundred clinicians went back to work inspired. They were reinvigorated, motivated and full of knowledge.  They were the delegates, faculty and volunteers of #resusTO. This inaugural event (hopefully) laid the groundwork for many more to come ...

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Resuscitation

LMWH in Cancer-Related VTE (CLOT Study)

Background: Venous thromboembolism (VTE) occurs frequently in patient with cancer. Treatment in this group entails a number of challenges including a higher rate of thrombosis recurrence and a higher risk of bleeding. Standard therapy in 2018 for both symptomatic and ...

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Hematology and Oncology

(Dis)Utility of Procalcitonin in Lower Respiratory Tract Infections (ProACT Trial)

Background: The mis- and overuse of antibiotics continues to be a growing problem in medicine; the results of which are increased health-care costs, increased antibiotic resistance and, ultimately, patient harm. Unnecessary antibiotics are particularly prevalent in the treatment of lower ...

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Infectious Disease

Pediatric Push Dose Epinephrine: Getting the Epi Dose Right During Pediatric Resuscitation

Warning: Limited Published Evidence on this Topic You have just intubated a 4 year old with sepsis from a bad pneumonia. Post intubation BP is 70 systolic, while waiting for the epinephrine (adrenaline) infusion to come up from pharmacy you ...

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PediatricsResuscitation

BICAR-ICU: How Should this Study Affect Care in the ED?

During a busy resuscitation it behooves the ED resuscitationist to avoid ordering therapies that have no clear benefit to their patients. Our nurses are overburdened, and adding interventions ‘just to be safe’ or ‘because we always do it’ is a ...

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Resuscitation

PRISMS Trial: Alteplase vs. Aspirin in Minor Stroke

Background: Despite serious concerns about the role of alteplase in the management of acute ischemic stroke including, but not limited to, significant conflicts of interest, unbalanced baseline patient characteristics, systematic devaluation of contrary data, lack of reproduced benefit and low ...

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Neurology

Classic Journal Review – Wells + Dimer to Rule Out PE

EM Journal Update: Safety of Using Wells’ Clinical Model With D-Dimer To Manage Patients In The ED With Suspected Pulmonary Embolism Background: In the US, pulmonary embolism (PE) kills 100,000 people each year and over 360,000 new cases of PE ...

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Thoracic and Respiratory

Edoxaban in Cancer-Associated VTE

Background: Venous thromboembolism (VTE) occurs frequently in patient with cancer. Treatment in this group entails a number of challenges including a higher rate of thrombosis recurrence and a higher risk of bleeding. Standard therapy at this time for both symptomatic ...

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Hematology and Oncology

Simplifying Mechanical Ventilation – Part 6 – Choosing Your Initial Settings

Choosing Your Initial Settings: I hope you now see what physiologies to consider when setting up the ventilator and your goals for each. If your patient doesn’t fit into one of these three categories, then I set up my ventilator as ...

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Thoracic and Respiratory

High Flow Nasal Cannula (HFNC) – Part 2: Adult & Pediatric Indications

The use of heated and humidified high flow nasal cannula has become increasing popular in the treatment of patients with acute respiratory failure through all age groups.  In part 1 we summarized how High Flow Nasal Cannula (HFNC) works.  In ...

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Thoracic and Respiratory
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