This post is cross-posted on REBEL EM.
Post-partum hemorrhage (PPH) is the leading cause of maternal death worldwide. It is typically defined as > 500 ml of blood loss within 24 hours of giving birth. However, PPH encompasses a broad spectrum of disease from mild oozing over hours to rapid exsanguination and death.
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The two most important things that we can do in cardiac arrest to improve survival and neurologically intact outcomes is high quality CPR, with limited interruptions and early defibrillation. The 2015 AHA/ACC CPR updates recommended a compression rate of 100 -120/min, a depth of 2 – 2.4in, allowing full recoil, and minimizing pauses. This is a lot to remember during a stressful code situation and one way many providers are offloading themselves cognitively is by the use of mechancical CPR (mCPR) devices.
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Thyroid storm is a rare, life-threatening disorder requiring rapid diagnosis and aggressive management.
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SIMWars is a competitive learning environment held every year at the ACEP Scientific Assembly in October and the SAEM Annual Meeting every May. It pits residency teams from across the country against each other as they manage complex patients. This year, the NYU/Bellevue EM Resident team of Allan Guiney (PGY3), Joe Levin (PGY2), Magdalena Robak (PGY1) and Kristen Ng (PGY1) took home the championship!
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This post is cross-posted on REBEL EM here.
Etomidate and ketamine are both routinely used as induction agents during rapid sequence intubation (RSI) in trauma patients. It is well established that etomidate transiently suppresses the adrenal gland through inhibition of the 11-beta hydroxylase enzyme. Though adrenal suppression in theory can cause deleterious outcomes,
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Anti-D Immunoglobulin is commonly given in 1st trimester pregnancy with bleeding but is it effective in preventing isoimmunization?
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Teaching on a clinical shift can sometimes be difficult: it’s busy, everyone’s running around and it’s hard to capture a trainees attention. Recently, on twitter, Amal Mattu (@amalmattu) has been posting pictures of his white board teaching: discrete pearls written down and shared with anyone who walks by. The pearls are often prompted by patients presenting during that shift but they don’t have to be.
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