While hypoxia is a clearly recognized dangerous clinical entity in critically ill patients, the dangers of hyperoxia are gaining recognition. Hyperoxia has been shown to cause systemic vasoconstriction, pulmonary interstitial fibrosis, atelectasis, and tracheobronchitis. Two studies have demonstrated the harms of hyperoxia in both peri-operative (Meyhoff 2009) and STEMI patients (Stub 2015). This study sought to look at the effect of conservative arterial oxygen goals on ICU mortality.
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Journal Review
Effect of Conservative vs. Conventional Oxygen Therapy on ICU Mortality
Core
Ankle Stress Views: Why, When + What
This post delves in to ankle stress views with a focus on when to get them and what we’re looking for.
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Journal Review
Canadian Head CT Decision Tool
CT scans are frequently done after minor head injury to evaluate for intracranial hemorrhage. While CT scans are an excellent tool for diagnosing or ruling out this disorder, they are not without harms including radiation exposure, cost and department delays. Much of the time, CTs are negative, or find injuries for which no intervention is ever done and do not clinically affect the patient.
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Intrathecal Baclofen Withdrawal
Intrathecal baclofen withdrawal is a rare but life-threatening presentation. This post reviews the diagnosis and management of the condition
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Journal Review
Missed Opportunities for HIV Post-Exposure Prophylaxis
Emergency Departments (ED) are frequently tasked with managing HIV exposures and initiating post exposure prophylaxis (PEP). A survey of ED providers in early 2000 demonstrated that many were uncomfortable determining the need for PEP after non-occupational exposures, like sexual contact and injection drug use. For such cases, PEP management occurred 49-100% of the time. In 2005,
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Journal Review
Utility of Pelvic US After Negative CT
Women presenting to the Emergency Department (ED) with abdominal pain present a diagnostic dilemma when it comes to selection of imaging modality. Differentiating pain originating from pelvic organs vs. intra-abdominal organs is difficult to do with history and physical alone, and many women ultimately end up undergoing both CT of the abdomen and pelvis (CTAP) and pelvic US in the ED.
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Core
Ankle Fractures
Ankle fractures are commonly seen in the ED. Proper imaging, diagnosis, reduction and splinting are essential.
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Post
Emergency Medicine in India – A Dream
India is the second most populous country in the world and will soon overtake China in being ‘numero uno’. There is a growing disparity between the numbers of patients per doctor. In such an atmosphere, Emergency Physicians are a growing need.
In 1999, the Society of Emergency Medicine, India was constructed with aim to promote emergency medicine in India.1 In its first ever meeting held in 1999,
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