Archive

Tag: Mythbuster

Beyond ACLS: Is It Time to Abandon Epinephrine in Out-Of-Hospital Cardiac Arrest?

Epinephrine is widely used and recommended by Advanced Cardiovascular Life Support (ACLS) in out-of-hospital cardiac arrest (OHCA), but its effectiveness in neurologic outcomes has never been truly established.  To verify effectiveness of epinephrine confounders, such as patients, CPR quality, CPR …

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Resuscitation

Is Kayexalate Useful in the Treatment of Hyperkalemia in the Emergency Department?

Background: Hyperkalemia is the most common electrolyte disorder seen in the Emergency Department and treatment of hyperkalemia is core knowledge of EM training for interns and focuses on: 1) Stabilization of cardiac myocytes with calcium salts 2) Temporary shifting of potassium …

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Endocrine, Metabolic, Fluid, and Electrolytes

REBEL Cast Episode 4: Cephalosporin Abx in Patients with Penicillin Allergy

Welcome to the January 2015 REBELCast, where Swami and I are going to tackle a very important scenario that comes up in the daily practice of not only Emergency Medicine, but also in Medicine.  Today we are going to specifically …

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Allergy and ImmunologyInfectious Disease

Do Patients with Strep Throat Need to Be Treated with Antibiotics?

Background: Streptococcal pharyngitis is a common presentation to primary care and Emergency Department physicians. Every year, 10 million patients in the United States are treated with antibiotics for pharyngitis. However, less than 10% of these patients actually have strep pharyngitis (Barnett …

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Infectious Disease

Intravenous Fluids and Alcohol Intoxication

Frequently, patients with acute alcohol intoxication are brought to the emergency department (ED) for evaluation and treatment.  Although practice patterns vary, it is not an uncommon practice to give normal saline to these patients in the hopes that the saline …

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Toxicology

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