practice updates

Atropine Not Needed for RSI

We have covered several other pediatric EM myths and misconceptions previously: Cuffed ETT are ok, a doughnut is not a good shape for LP Positioning, the 500:1 rule should not be used, Oral Rehydration is faster than IV, and you can/should give morphine to kids you are worried have appendicitis.

Recently, I was reminded of another myth that continues to have a foothold: Atropine and RSI.

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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.

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Recognizing and Preventing Acute Decompensation in the ED

“What Happened?” Recognizing and Preventing Acute Decompensation in the ED Authors:  Michael C. Perry, MD (EM Resident Physician/University of Texas at Austin Dell School of Medicine) and Janna Welch, MD (Assistant Residency Director, University of Texas at Austin Dell School of Medicine) // Edited by: Jennifer Robertson, MD and Alex Koyfman, MD (@EMHighAK) The emergency

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Intern Report Collection

To kick off your weekend reading pleasure, here’s another batch of our monthly excellent write-ups from the EM interns at UT Southwestern (@DallasEMed) and Icahn School of Medicine at Mount Sinai courtesy of Alex Koyfman (@EMHighAK) and Stephen Alerhand (@SAlerhand) . Our ongoing intern report series is the product of first-year residents exploring clinical questions they have found to be particularly intriguing, with an intended audience of med students & junior residents. Enjoy!

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