This post is a multi-physician, multi-specialty petition detailing significant concerns with the surviving sepsis campaign guidelines.
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Petition to Retire the Surviving Sepsis Campaign Guidelines
Journal Review
The HEAVEN Difficult Airway Prediction Tool
This review was previously posted on REBEL EM here.
Predicting an anatomically and/or physiologically challenging airway is not a straightforward task by any stretch of the imagination. There are some existing difficult-airway prediction tools available (i.e. LEMON = Look externally, Evaluate 3-3-2 rule, Mallampati score, Obstruction, Neck mobility), but many of them were derived in an elective surgery setting and may not be as applicable to emergency airway management.
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Journal Review
PE Rule-Out Criteria RCT
The diagnosis of a pulmonary embolism (PE) in the Emergency Department (ED) is complicated. Many different decision rules have been developed to help risk stratify patients coming into the ED with some level of suspicion for PE. The Pulmonary Embolism Rule-Out Criteria (PERC) are a set of decision rules created to reduce testing in patients who have a low probability of PE.
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Core
Jones Fractures
This post reviews the common Jones fracture (base of the 5th metatarsal) and some pearls + pitfalls in management.
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Journal Review
Door-to-Furosemide Time
Acute congestive heart failure (AHF) results in nearly 1 million emergency department (ED) visits in the US per year and is associated with high morbidity, mortality, and cost. It is increasingly clear that ED management of these patients may determine later in-hospital mortality and ultimate prognosis.
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Spontaneous Bacterial Peritonitis (SBP)
This post explores the diagnosis and management of SBP
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Post
Who Are You?
“Code Blue in the waiting room!”
As my co-resident, attending, and I sprinted down the hall, I vividly remember thinking to myself that I probably shouldn’t be here right now. I was working upstairs in the surgical ICU. On a particularly slow overnight, I decided to head down to the ED to visit some friends.
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