Havoyoco

Neurocritical Care Society Aneurysmal SAH Guidelines This post looks at the Neurocritical Care Society guideline updates for the management of aneurysmal subarachnoid hemorrhage, including blood pressure management, antifibrinolytics, calcium channel blockers, fluids, and more.

PEM Currents - Agitation in Children - Episode 1: Differentiating Organic vs Psychiatric Most children who present to Pediatric Emergency Departments these days with metal health concerns – including agitation – have a known psychiatric problem or diagnosis. Furthermore, the connection between physical and functional symptoms is inextricably linked in many patients. Why then do we p...

52 in 52 - #35: ECASIII Reanalysis This week we cover "Thrombolysis with alteplase 3–4.5 hours after acute ischemic stroke: trial reanalysis adjusted for baseline imbalances", which is a reanalysis of ECASIII and tPA stroke.

The EM Educator Series: Fournier Gangrene - Simple, raging cellulitis The EM educator series covers Fournier gangrene this week.

Journal Feed Weekly Wrap-Up Journal Feed covers VL vs. DL, propylthiouracil vs. methimazole, fludrocortisone plus hydrocortisone for septic shock.

52 in 52 - #34: Tenecteplase versus Alteplase before Thrombectomy for Ischemic Stroke (EXTEND-IA TNK) This week we cover the EXTEND-IA TNK study, which evaluates TNK versus tPA before thrombectomy.

emDOCs Podcast – Episode 77: CAR T-cell and Cytokine Release Syndrome Today the emDOCs cast covers CAR T-cell therapy and Cytokine Release Syndrome.

The EM Educator Series: Meningitis - Unusual Headache and Fever EM Educator returns with meningitis.

Journal Feed Weekly Wrap-Up Journal Feed looks at hyperacute T waves, early PCC in trauma, and ST elevation in aVR.

52 in 52 - #33: The PREVENT Trial 52 in 52 covers the PREVENT trial for this week's article. Does low (6 mL/kg) tidal volume reduce ventilator free days in ventilated patients without ARDS compared to intermediate tidal volume (10 mL/kg)?

Medical Malpractice Insights: Missed testicular torsion - Is it “gross negligence”? Dr. Pilcher covers a case of testicular torsion and the question of "gross negligence" in this month's medical malpractice insights.

emDOCs Podcast - Episode 76: Giant Cell Arteritis Today the emDOCs cast looks at giant cell arteritis (GCA), also known as temporal arteritis.

EM@3AM: Polyarteritis Nodosa A 59-year-old male presents to the ED with abdominal pain, hematuria, and re**al bleeding for the 5 days. His symptoms have been associated with unintentional weight loss, intermittent fevers, skin rash, and fatigue over the past 3 months. He has a past history of hepatitis B, hypertension, diabetes...

The EM Educator Series: Cardiogenic Shock - Don’t be shock’ed, it’s not sepsis This week the EM educator series looks at the challenging case of cardiogenic shock.

Journal Feed Weekly Wrap-Up This week Journal Feed looks at three pediatric articles.

52 in 52 - #32: Hydrocortisone in Severe Community-Acquired Pneumonia This week the '52 in 52' series covers hydrocortisone in patients with severe community-acquired pneumonia, or the CAPE-COD trial.

emDOCs Podcast – Episode 75: Asplenia Episode 75 of the emDOCs Podcast looks at asplenia and its complications.

EM@3AM: Testicular Torsion A 25-year-old male is brought to the ED by EMS after sudden onset right testicular pain. He denies any trauma or contact to his sc***um or perineum; however, he endorses severe, sudden pain associated with nausea and non-bloody, non-bilious emesis. He additionally complains of mild lower right abdom...

52 in 52 - #31: Effect of Cricoid Pressure Compared With a Sham Procedure in the Rapid Sequence Induction of Anesthesia This week the 52 in 52 series looks at cricoid pressure in RSI.

The EM Educator Series: Empyema - Does this "pneumonia" need source control? The EM Educator series looks at empyema.

emDOCs Podcast - Episode 74: Upper Airway Obstruction Part 2 Today on Part 2 we look at flexible intubating endoscopy, ramped positioning, seated intubation, supraglottic devices, cricothyrotomy, retrograde intubation, and pearls/pitfalls.

EM@3AM: Impetigo A 9-month-old male presents with a rash and fever for 4 days. Mom reports the rash began in the axillae and groin and spread to the trunk. She notes the rash started as small, erythematous lesions that have progressed to bullae which are unroofing. The rash is associated with intermittent fevers (Tm...

Visual Wednesdays: Aortic Stenosis Visual Wednesdays from Walid Malki is back with aortic stenosis!

Medical Malpractice Insights: Corneal abrasion or perforated globe? Medical malpractice insights covers corneal abrasion versus open globe injury.

52 in 52 - #29: The "PAMPer" Study 52 in 52 looks at the PAMPer study this week.

emDOCs Podcast - Episode 73: Upper Airway Obstruction Part 1 Today's podcast covers a challenging case of an upper airway obstruction with Jess Pelletier, MD. We look at the differential of airway obstruction, predicting the difficult airway, guidelines, and preoxygenation.

Neurogenic Shock: Definition, Identification, and Management in the ED How is neurogenic shock diagnosed and managed in the emergency department?

EM@3AM: Sacral fractures A 75-year-old male with a history of hypertension, osteoarthritis, and diabetes mellitus presents to the ED with a chief complaint of lower back pain. He states that he fell a few days ago and the pain is getting worse, particularly when he is sitting down. His vitals include blood pressure 150/95,....

52 in 52 - #28: A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis The 52 in 52 series is back with an RCT on HFNC in infants with bronchiolitis.

Dexmedetomidine, almost as many uses as there are letters Dexmedetomidine has a variety of uses... What do you need to know?