Archive

Tag: Mythbuster

Mythbuster: Glucose Levels Must be Below a “Safe” Threshold Before Discharge

Background: Anyone who works in the Emergency Department has seen patients brought in by EMS or sent from the clinic with a chief complaint of “high blood sugar.”  Now, we are not talking about patients with diabetic ketoacidosis, but just …

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Endocrine, Metabolic, Fluid, and Electrolytes

Diabetic Ketoacidosis (DKA) Myths

Recently, I was asked to give a lecture to both my residents and nurses at the University of Texas Health Science Center at San Antonio (UTHSCSA) on some common DKA myths. Now this topic was originally covered by my good friend Anand Swaminathan …

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Endocrine, Metabolic, Fluid, and Electrolytes

More Dogma: Epinephrine in Digital Nerve Blocks

You are working as an EM resident and have just evaluated a patient with a right long finger DIP joint dislocation. You perform a digital nerve block with 1% lidocaine with 1:100,000 epinephrine, and go to present to your attending …

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Trauma

Mythbuster: Administration of Vasopressors Through Peripheral Intravenous Access

Background: Vasopressors are frequently used in critically ill patients with hemodynamic instability both in the emergency department (ED) as well as intensive care units (ICUs). Typically, vasopressors are given through central venous catheters (CVCs) as opposed to peripheral intravenous (PIV) …

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Resuscitation

Beyond ACLS: Epinephrine in Out-of-Hospital Cardiac Arrest Poll

Recently, I wrote a post on the use of epinephrine in out-of-hospital cardiac arrest (OHCA) and this triggered some interesting discussion on twitter. Are we at a point that we can just stop using epinephrine in OHCA?  Has anyone stopped …

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Resuscitation

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