Background: Normal Saline (NS) is one of the most commonly used IVFs in resuscitation today. The use of balanced vs unbalanced crystalloids has been one of the biggest debates in resuscitation of the critically ill in recent history due to ...
Imagine you have a patient in respiratory failure sitting right in front of you. The patient has an increased work of breathing and obviously in distress. Monitors are beeping, nurses are asking you what you want to do, and if ...
Background: Typical medical treatment of ACS patients include dual antiplatelet therapy (DAPT) and revascularization with primary percutaneous coronary intervention (PPCI). Nitroglycerin is first line therapy in the treatment of pain in ACS with morphine as a common adjunct. Morphine helps ...
Background: The diagnosis of PE is a tricky thing. We want to limit over-testing patients and therefore, over-diagnosis. On the other hand, we don’t want to limit testing so much that we miss the diagnosis where treatment would make a ...
Background: We have discussed the safety of peripheral vasopressors on REBEL EM before. In that review by Loubani et al was a systematic review of 85 articles and 270 patients. 95% of the extravasation events occurred in PIVs with infusions ...
What’s Wrong With Lectures/Presentations Now? Lecturing style has remained stagnant despite the fact that our understanding of how people learn has changed. Most presentations make the supportive media (i.e. slides) the focus of the presentation without thought about the story ...
Background: Predicting an anatomically and/or physiologically challenging airway is not a straightforward task by any stretch of the imagination. There are some existing difficult-airway prediction tools available (i.e. LEMON = Look externally, Evaluate 3-3-2 rule, Mallampati score, Obstruction, Neck mobility), ...
Background: Post-cardiac arrest patients are among the sickest groups of patients seen in the Emergency Department. They are difficult to study, which leads to endless questions about how to best care for them. Below we address the available evidence on ...
Background: Placement of vascular access for administration of resuscitation drugs and fluids is a common procedure in the management of out of hospital cardiac arrest (OHCA). While intravenous (IV) placement has been the standard approach for decades, intraosseous (IO) access is ...
Background: Randomized clinical trials evaluating the efficacy of adjunctive corticosteroids in septic shock have shown conflicting evidence of clinical relevance. Two trials in particular looked at lower dose hydrocortisone (200mg/day) and its effect on mortality in patients with septic ...
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