5 Minute Journal: Smelling Salts not included
Dr. Harrison Pidgeon Background: We see nausea all the time in the Emergency Department (ED). Providers have different preferences on what agents they use as anti-emetics. But when put through…
5 Minute Journal: Steroids and Antiviral Treatment for Bell’s Palsy
“Combined Corticosteroid and Antiviral Treatment for Bell’s Palsy A Systematic Review and Meta-analysis” Background/Study Question This article aimed to answer the question: Do steroids PLUS antivirals offer reduced risk of…
5 Minute Journal: Second Antibiotic Delays in Sepsis
Author: Dr. Tisma Background/Study Question How often do septic patients receive their second antibiotic dose later than they should? What are the risk factors for these delays? And do these…
5 minute Journal: Hydrocortisone + Fludrocortisone for adults with septic shock
Author: Vanessa I. Petrak, M.D. Background: Septic Shock is a dysregulated host response to infection, resulting in life-threatening circulatory, cellular, and metabolic abnormalities. Sepsis is associated with a dysregulated response of…
Videos: Vents 101 + Medications in COVID
Here are videos from this week’s zoom conference: Ventilator settings 101 (Patwari) Medications used in COVID-19 (Anthony Renzoni) – slides
5 minute Journal: Shocking Norepi Use
Author: Dr. Collin Wulff, DO Study Question: Does early low-dose norepinephrine improve shock control in those with sepsis with hypotension? Design: Mostly good buzzwords here; single center, randomized, double-blind, placebo…
New Kid on The HyperK Block… Lokelma
Lokelma (Zirconium Cyclosilicate) I’m sure everyone has seen our new friend, Lokelma, on the Rush hyperkalemia order set. Thought it would be fun to do a blog post to discuss…
Journal Club: Trick or Treat UTIs?
Author: Dr. Stephen Gore
In the spirit of antibiotic stewardship and limiting the side effects of said antibiotics, we took a critical look during our last Journal Club session at the utility of urinalyses, urine cultures and vague symptoms like confusion/altered mental state in diagnosing UTI.
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5 Minute Journal: Migraine Cocktail — over IV fluids or neat?
Author: Dr. Calloway Pichette Article: IV Fluids for the treatment of Emergency Department patients with migraine headache: a randomized controlled trial Background: Headache, a common complaint in the ED. Many…
Stop the bleeding!
As emergency physicians, we know how to handle bleeding. But what about when the patient is on anticoagulants? Last week our ED pharmacist, Gary Peksa, PharmD, gave us some advice on how to stop the bleeding in a patient on anticoagulants. Here is a brief overview on what he taught us. Let’s start by discussing all the intricacies of the coagulation cascade and how each of the anticoagulants work:
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