Commonly used RSI medications, doses and contraindications.
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Rapid Sequence Intubation Medications
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Mistakes Made, Lessons Learned in the ED
In reflecting on my wonderfully addicting four-week stint in the NYU/Bellevue Emergency department, I began to wonder what advice I would have given myself before showing up to work that first day, knowing what I know now. What would I be more mindful of? What mistakes would I avoid repeating? This is how I came up with a list of 4 lessons I learned and the mistakes I made.
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Journal Review
Medical Expulsive Therapy (MET) in Renal Colic
Ureteric (renal) colic is a common, painful condition encountered in the Emergency Department (ED). Sustained contraction of smooth muscle in the ureter as a kidney stone passes the length of the ureter leads to pain. The majority of stones will pass spontaneously (i.e. without urologic intervention). For over a decade, calcium channel blockers (i.e. nifedipine) and,
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Ultrasound Guided Pericardiocentesis
Cardiac tamponade is a life-threatening disorder + can be rapidly identified by POCUS + relieved with ultrasound guided pericardiocentesis
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Journal Review
CRASH-2: Tranexamic Acid in Major Trauma
Injuries are a major cause of death worldwide. Millions of people die every year from traffic injuries. In fact, they are the 9th leading cause of death around the world. Additionally, another 1.5 million people die every year from interpersonal violence. Hemorrhage accounts for about 1/3 of all trauma deaths and as such, it should be our goal to find treatments to decrease death from hemorrhage.
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Procedural Sedation and Analgesia Resources
This post reviews the concepts of procedural sedation + highlights resources from emupdates.com (PSA checklist + screencast trilogy)
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How to Excel in Your 4th Year Clerkship
The data is out. Just published June 30th, 2015, in Academic Medicine (the Journal for the AAMC)(Benson, Stickle et al. 9000) is that 4th year students going into EM are much more likely to do away rotations during their 4th year than students going into other specialties. Also, the majority of 4th year medical students believe that one of the primary uses of the last year of med school is to successfully match in the residency of their choice.
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Journal Review
Utlity of Non-Invasive Cardiac Testing
In patients who present to the Emergency Department (ED) with chest pain whose initial evaluation does not reveal acute myocardial infarction, the American Heart Association (AHA) recommends non-invasive testing to provoke ischemia or to detect coronary artery disease (CAD) before or within 72 hours of their discharge. Such testing is believed to identify patients who might benefit from more invasive therapy,
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