I have been accused by many of my colleagues and friends as being hypomanic. They always wonder how I get so much done. Do I function on 4 – 5 hours of sleep? Is it the fact that I am ...
Background: With hundreds of journals, and thousands of publications in any given month it is near impossible to sift through all the current medical literature and hope that you find the most pertinent articles that could impact practice. One of the key ...
Friends, Concern regarding the Surviving Sepsis Campaign (SSC) guidelines dates back to their inception. Guideline development was sponsored by Eli Lilly and Edwards Life Sciences as part of a commercial marketing campaign (1). Throughout its history, the SSC has a ...
I was working a busy shift in the ED, like many of us do, and the next patient I was going to see was a 57 year old male with no real medical problems complaining of chest pain. I remember ...
I was working a busy shift in the ED, like many of us do, and the next patient I was going to see was a 57 year old male with no real medical problems complaining of chest pain. I remember ...
Background: There has been lots of research published in past years on how to minimize pain and anxiety in children brought to the ED. Unfortunately, as we all know there is often a lag time from research publication to clinical ...
Background:There are two trains of thought in using transthoracic direct current cardioversion (DCCV) when it comes to converting atrial fibrillation. The first is an escalating energy approach which allows cardioversion to occur at the lowest energy for each individual patient ...
With the publication of the DAWN and DEFUSE-3 trials came a new era in stroke management. We have discussed the specific literature pertaining to endovascular therapy on REBEL EM before in our 2hour CME activity HERE. Along with the two new publications ...
Background: Successful first-pass endotracheal intubation is the desired outcome of all ER physicians as this can stave off hypoxemia and aspiration. The bougie is one tool we have in our armamentarium that may be able to help with intubation. Many providers ...
Background: It is well established that the rapid identification of patients with sepsis is needed in order to initiate timely care to improve morbidity and mortality. The systemic inflammatory response syndrome (SIRS) criteria have been used for some time for ...
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