Refractory Ventricular Tachycardia: Approach to Management
What do you do with the unstable patient in V tach who won’t respond to electricity?
Refractory Ventricular Tachycardia: Approach to Management Read More »
In the Literature
Selected Toxicologic Bradycardias
The tox patient with low HR. What could you be missing, and what can be done better?
Selected Toxicologic Bradycardias Read More »
Pearls and Pitfalls of Salicylate Toxicity in the Emergency Department
Emergency physicians commonly care for poisoned patients. These exposures may be either intentional or unintentional. Salicylates are commonly found in many topical and over the counter preparations, yet salicylate toxicity is often overlooked and underestimated as a potential cause for illness in our patients. Below is a condensed quick-guide of common mistakes that emergency physicians may be making with respect to salicylate overdoses and how to fix them. The goals of care to take away from this article are prevention of intestinal absorption and CNS entry of salicylates, as well as drug elimination.
Pearls and Pitfalls of Salicylate Toxicity in the Emergency Department Read More »
Critical Asthma Patient: Pearls/Pitfalls of Management
You’ve tried your normal asthma treatment pathway, and the patient looks worse… What’s next?
Critical Asthma Patient: Pearls/Pitfalls of Management Read More »
Teaching the Modern EM Resident
Current EM residents, as part of the Millennial Generation (born between 1981 and the present), now see this new technology as a way of life, and feel the need to be connected online at all times.5,6 As a result, many EM residents have abandoned the traditional lecture hall and textbooks, and have taken to their electronic devices and the World Wide Web for obtaining information.
In order to continue providing quality education that meets the needs of the modern EM resident, the type and quality of educational resources that we deliver must also change.
So the question becomes: How do we use these new resources to guide the education of our current EM residents both on and off shift?
Teaching the Modern EM Resident Read More »
The Pediatric Airway: Pearls and Pitfalls
A great review of managing the pediatric airway with tips on initial assessment, physiology, and equipment.
The Pediatric Airway: Pearls and Pitfalls Read More »
Concussion in Sports: Sideline and Emergency Department Evaluation and Management
A review of concussion in sports: diagnosis, management, imaging indications, and disposition.
Concussion in Sports: Sideline and Emergency Department Evaluation and Management Read More »
Endovascular Stroke Therapy: Is This the New Standard?
Every few years, we come to a crossroads that makes us reexamine our current clinical practice and consider a better intervention. For the past twenty years, patients presenting with acute ischemic stroke have had essentially one option for therapy: intravenous thrombolytics. Since the NINDS-2 trial in 1995 [1], tPA has erupted onto the scene of stroke management and has become the gold standard despite ongoing questions behind the true efficacy of tPA.
Endovascular Stroke Therapy: Is This the New Standard? Read More »
High Altitude Pulmonary Edema: Diagnosis, Management, and Preventive Strategies
The patient with shortness of breath and cough at altitude: How can EM physicians optimize care and outcomes?
High Altitude Pulmonary Edema: Diagnosis, Management, and Preventive Strategies Read More »
Oral contrast for CT abdominal imaging
Is the use of oral contrast for abdominal CT still necessary?
Oral contrast for CT abdominal imaging Read More »