In 2002, the New England Journal of Medicine published two studies that changed the management of post-cardiac arrest patients by showing improved outcomes in patients treated with therapeutic hypothermia (32°C-34°C) for at least 24 hours.
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Core Content by Jenny Beck-Esmay, MD
Journal Review
Effect of Changing Post-ROSC Target Temperature
Journal Review
Acute Kidney Injury is not Associated with IV Contrast Use in the ED
Intravenous (IV) iodinated contrast media is used routinely to improve the accuracy of computed tomography (CT) in the emergency department (ED). Prior studies have linked contrast media with the development of acute kidney injury (AKI) and has been linked to increased risk of major adverse events including the initiation of dialysis,
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Journal Review
Normalization of Vital Signs Does Not Reduce the Probability of PE
In patients with symptoms of pulmonary embolism (PE), we often turn to vital signs, including heart rate, respiratory rate and pulse oximetry, as part of our initial impression of the patient.
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A Call to Use and Infuse High Dose Insulin! – Hyperinsulinemia Euglycemia Therapy (HIET) for Beta Blocker and Calcium Channel Blocker Toxicity
A 45-year-old male is brought into your resuscitation bay by EMS. He was found down, with empty prescription bottles for metoprolol, amlodipine and verapamil on his person. His heart rate is in the 30s and his blood pressure is 80s/40s.
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Core
Hyperinsulinemia Euglycemia Therapy (HIET) for Beta Blocker and Calcium Channel Blocker Toxicity
Cardiogenic shock from beta blocker/calcium channel blocker overdose can be difficult to treat. HIET is a life-saving treatment modality.
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Core
Rapid Sequence Intubation Medications
Commonly used RSI medications, doses and contraindications.
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Core
Shoulder Dystocia
Impaction of the fetal anterior shoulder behind the maternal pubic symphysis. This disorder prevents progression of delivery.
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Core
Infections in Pregnancy
There are a number of life-threatening, infectious complications of pregnancy including chorioamnionitis and septic abortion.
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Jenny Beck-Esmay, MD
Assistant Resident Editor
Jenny Beck-Esmay is a fourth-year resident in the Department of Emergency Medicine at NYU/Bellevue. Originally from Minnesota, she moved to NYC to attend the New York University Tisch School of the Arts. After earning a BFA in drama, Jenny switched gears and turned to a career in medicine. She maintains an interest in the arts and literature and has a particular love of sci-fi, fantasy and comics. Her special interests within emergency medicine include critical care and education. She is involved in national emergency medicine societies as the editor of the AAWEP newsletter and is a member of the Editorial Advisory Committee for EMResident. Additionally, she is a senior editor of FemInEM, a FOAM site focusing on the needs of women within emergency medicine.