This study is interesting because Maryland EMS has a protocol to give Midazolam IM in prehospital setting. The New England journal published on Feb,16, 2012 a double-blind, randomized study comparing IM Midazolam versus IV Lorazepam for children and adults in status epilepticus.
Continue ReadingThis is a link to an article form Netherlands, on management of bleeding in patients who just started on different antiplatelet agents.
Continue ReadingJeffry Kline is famous for his research on PE and his latest article in Academic Journal of Emergency Medicine(Jan 2012) is opening another window to PE regarding Normalization of Vital Signs Does Not Reduce the Probability of Acute Pulmonary Embolismin Symptomatic Emergency Department Patients.
Continue ReadingThe Journal of Clinical Endocrinology & Metabolism published a practice guideline in Jan.2012. Focus of this guideline is management of hyperglycemia in
Continue ReadingJournal of Emergency Medicine published an article with title of “Effective Antibiotic Treatment Prescribed by Emergency Physicians in Patients Admitted to the Intensive Care Unit With Severe Sepsis or Septic Shock” in Dec,2011.
Continue ReadingThis is one of the challenging topics in EM. when should you stop CPR? what parameters do you have to continue versus terminate CPR?
Continue ReadingProbably you had this dilemma before. Patient involved MVC with midline neck tenderness and negative CT scan. Now, what should I do? Should I clear and remove c-collar or consult with trauma. There are 2 approaches that trauma surgeons usually do. 1:MRI and/or 2: Flex-ex xray.
Continue ReadingI thought I posted this before but I did not, Pediatrcis 2011, prospective cohort study with 2574 patients under 21 years old. Interestingly, 16 % of patients had radiographic pneumonia.
Continue ReadingThe anion gap is representative of positive versus negative charges. when we are calculating anion gap, we are calculating a balance between positive and negative charges. correcting
Continue ReadingIDSA (Infectious Diseases Society of America) published a new guideline this year for treatment of soft tissue infections and MRSA.
Continue ReadingKocher Criteria is the best way to diagnose septic arthritis in children
Continue ReadingIs a lumbar puncture necessary when evaluating febrile infants (30 to 90 days of age) with an abnormal urinalysis? There is a new study in Peds Emergency care which it describes a retrospective study among infants 1 month to 3 months old
Continue ReadingI had a patient with Carbon Monoxide poisoning. Patient had mental status changes and was unresponsive.We transferred patient to a hyperbaric center and this is the review that I did with my resident and student for Carbon Monoxide poisoning, mainly from Tintinalli’s:
Continue ReadingRecently, AAP published a practice guideline on “Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children
Continue ReadingAre arterial and venous samples clinically equivalent for the estimation of pH, serum bicarbonate and potassium concentration in critically ill patients? another study on VBG vs ABG, I am sure in ED we almost agreed that a lot of ABG could be replaced by VBG but still among our consultant, this is not as clear […]
Continue ReadingTop Ten Mistakes in Residency by: Peter Deblieux
Continue ReadingWe all know that VBG can be replaced with ABG for a lot of reasons, but our consulatants are still asking for ABG in DKA, COPD, Asthma and etc. I will post some data that show VBG is as good as ABG unless you have a patient under vent. Diagnostic Accuracy of Venous Blood […]
Continue Reading2008 Pocket Guides, Surviving Sepsis Campaign Guideline
Continue ReadingACEP’s Video presentation of Dr. Greg Henry and Dr. Gillian Schmitz discussing the top ten documentation mistakes.
Continue ReadingEmergency-Medicine-Past-and-Future by: Peter Rosen
Continue ReadingWhich Anti-emetic for Undifferentiated Vomiting By: Ingrid Lim
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