Archive

Medical Category: Procedures and Skills

Sub-Dissociative IV vs Nebulized Ketamine to Treat Pain

Background: IV subdissociative ketamine at a dose of 0.1 to 0.3mg/kg is increasingly being used as an opioid sparing option for short-term acute pain relief. Alternatively, nebulized ketamine can be used for this indication and may have a benefit as ...

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OrthopedicsPediatricsProcedures and SkillsTrauma

Intubation in Surgical Patients: VL vs DL

Background: Although most intubations are typically successful there is still a portion of patients that may require multiple intubation attempts.  Repeated intubation attempts could lead to respiratory and hemodynamic complications. We recently covered the DEVICE trial on REBEL EM which ...

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Procedures and SkillsResuscitationThoracic and Respiratory

Serial PoCUS for ED Patients with Acute Dyspnea: Is More Actually Better?

Background: Point-of-care ultrasound (PoCUS) is a valuable clinical tool in the assessment of acute dyspnea. It can be used to distinguish between various conditions, including chronic obstructive pulmonary disease (COPD) exacerbation, acute heart failure (AHF), pleural effusion, pulmonary edema, pericardial ...

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Procedures and SkillsThoracic and Respiratory

POCUS in the ED: Is Confirmatory RUQ US Still Necessary?

Background: Point of care ultrasound (POCUS) has a demonstrated sensitivity of 89.8% and specificity of 88.0% for identification of cholelithiasis and has a proven negative predictive value for ruling out other acute biliary pathology such as acute cholecystitis.1  It is ...

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Abdominal and GastroinstestinalProcedures and Skills

The PACER Trial: Platelet Transfusion before CVC Placement in Patients with Thrombocytopenia

Background: Bleeding complications are an uncommon but potentially a significant risk during central venous catheter (CVC) placement. Thrombocytopenia is associated with increased bleeding complications but there is no good-quality evidence showing that prophylactic platelet transfusions decrease that risk. Previous studies ...

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Hematology and OncologyProcedures and Skills

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