Orogastric lavage is rarely used but remains an important intervention in specific situations.
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Orogastric Lavage
Journal Review
Optimal First Line Analgesia in Ureteric Colic
Ureteric colic is a common cause of severe pain. Anecdotally, many patients describe it as “the worst pain” they’ve experienced. In the Emergency Department (ED) pain is typically treated with either a non-steroidal anti-inflammatory drugs (NSAIDs) or an opiate or a combination of both. There are limited high-quality studies investigating whether one medication is superior to another or whether the route of medication administration makes a difference.
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Core
Cholangitis
This post discusses recognition and treatment of cholangitis; a life-threatening disorder.
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Journal Review
Amiodarone, Lidocaine or Placebo in OHCA
Out-of-hospital cardiac arrest (OHCA) leads to over 300,000 deaths every year in North America. Many OHCA are due to ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT), which are generally considered to have the best prognosis during cardiac arrest due to their responsiveness to defibrillation. However, attempts at defibrillation during cardiac arrest frequently result in non-sustained return of spontaneous circulation (ROSC),
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Core
True Knee + Patellar Dislocations
Knee dislocations are relatively uncommon but can be limb-threatening if complications go unrecognized.
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Journal Review
Validity of Abdominal Exam in Blunt Trauma with Distracting Injuries
The past couple of decades have seen increased access to and ease of using CT scanning for traumatically injured patients. Given that the abdomen is an important source of occult bleeding, routine use of abdominal CT scans has become increasingly common and has predictably yielded many negative studies as well as finding clinically irrelevant abnormalities.
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Core
Temporomandibular Joint (TMJ) Dislocation
This post discusses TMJ dislocations and the numerous reduction techniques.
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Journal Review
Bed-Up-Head-Elevated Position for Emergent Intubation
Emergent endotracheal intubation has risks of complications including hypoxia, pulmonary aspiration, and prolonged time to intubation. Previous studies from the anesthesiology literature suggests that bed-up head-elevated (BUHE) positioning is associated with improved glottic views and prolonged apnea time. Using this positioning method could lead to decreased complication rates with emergent intubation.
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