Diabetic ketoacidosis (DKA) is a diagnosis commonly encountered in the emergency department (ED), with the numbers of patients presenting in DKA rising. The increasing number of DKA patients has led to a concomitant rise in cost, with a substantial part of the cost related to intensive care unit (ICU) stay. Treatment of DKA involves correcting acidosis/electrolyte derangements,
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Journal Review
Insulin Glargine in DKA
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Hyperinsulinemia Euglycemia Therapy (HIET) for Beta Blocker and Calcium Channel Blocker Toxicity
Cardiogenic shock from beta blocker/calcium channel blocker overdose can be difficult to treat. HIET is a life-saving treatment modality.
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Journal Review
Revisiting the “Golden Hour” of Trauma
“The Golden Hour”, a widely accepted concept that transport of the trauma patient within the initial 60 minutes after injury purports better outcomes has little empiric evidence directly supporting this relationship between time and outcome. While there have been many studies that suggest a survival benefit to shorter on-scene time and shorter transit time; most studies fail to substantiate a relationship.
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Acute Pulmonary Edema
Acute Pulmonary Edema (APE) is a life-threatening condition caused by neurohormonal overdrive. Rapid assessment + treatment is critical.
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Journal Review
ATLS: Archaic Trauma Life Support?
ATLS teaches inexperienced providers a systemic approach to trauma, with focus on stabilization and appropriate transfer of care. It is designed for providers who do not have much trauma exposure, not necessarily for providers who work in major trauma centers. This article reviews the scope of ATLS training and asks whether it is important or relevant for providers in major trauma centers.
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Epiglottitis
Epiglottitis, now increasingly common amongst adults, is difficult to recognize and potentially, life-threatening.
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Journal Review
Recurrent Visits for Kids with Serious Bacterial Infections
Sepsis and meningitis are rare but feared diagnoses in children, especially when they are unable to provide any meaningful history. Based upon available evidence, it can be assumed that delayed diagnosis in a dangerous condition would lead to worse outcomes. Children under the age of one month are almost universally treated as if they are immunosuppressed for this reason,
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Acute Otitis Media
Acute otitis media is the most common bacterial infection in childhood
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