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Slipped Capital Femoral Epiphysis (SCFE)

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This post delves into the diagnosis and management of SCFE.
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Journal Review

Impact of US Guided Cardiac Arrest Resuscitation on Compression Pauses

Filed Under: Tags: , , , September 28th, 2017 Leave a Comment

The provision of high-quality compressions with minimal interruptions is central to the management of cardiac arrest. Along with defibrillation, high-quality compressions are the only interventions proven to improve patient-oriented outcomes. Recently, point-of-care ultrasound (POCUS) has gained greater use in cardiac arrest care for determination the cause of arrest as well as guiding the resuscitation and interventions.
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Prophylactic Antibiotics in Nasal Packing

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Is it necessary to provide prophylactic antibiotics for anterior nasal packs? Standard teaching says yes but the data isn’t so supportive.
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Journal Review

Amiodarone in Cardiac Arrest – Systematic Review + Meta-Analysis

Filed Under: September 21st, 2017 Leave a Comment

In 2016 the annual incidence of out-of-hospital cardiac arrest (OHCA) in the United States was roughly 360,000 and 209,000 for in-hospital cardiac arrest (IHCA) (Mozaffarian 2016). Though survival rates are relatively dismal, arrests in the setting of shock amenable rhythms – ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT) – have an overall better rate of return of spontaneous circulation (ROSC).
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Priapism

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This post reviews the emergency management of patients presenting with priapism.
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Journal Review

Antibiotics in the Treatment of Smaller Abscesses

Filed Under: Tags: , , September 14th, 2017 Leave a Comment

Skin and soft tissue infections (SSTI), specifically skin abscesses, are an increasingly common cause for emergency department (ED) visits. Many of these are uncomplicated and are treated in the ED with incision and drainage (I&D) and then discharged. In an era of increasing rates of methicillin-resistant staph aureus (MRSA), there may be a role for adjunct therapy with oral antibiotics to improve cure rates.
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Occult Causes of Non-Response to Vasopressors

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This post investigates a cognitive process for the patient with refractory hypotension.
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