Emergency Hospitalizations for Adverse Drug Events
To estimate the frequency and rates of hospitalization after emergency department visits for adverse drug events in older adults between 2007-2009.
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Actual or the corrected serum sodium in DKA!
The 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 ReadingMRSA Therapy! New Guideline
IDSA (Infectious Diseases Society of America) published a new guideline this year for treatment of soft tissue infections and MRSA.
Continue ReadingCO Poisoning
I 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 ReadingChildren at very low risk of TBI per PEACRN
Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. The goal of study was to identify children at very low risk of clinically-important traumatic brain injuries (ciTBI) for whom CT might be unnecessary.
Continue ReadingPediatric UTI; Practice guideline from AAP
Recently, 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….
Are 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 ReadingEffect of adrenaline on survival in out-of-hospital cardiac arrest
This is a very interesting study regarding usage of epinephrine in out of hospital setting. This is probably the first control trial in human post cardiac arrest. The study is about
Continue ReadingVolume Status in Septic Shock
How do we measure the fluid status in a patient with shock? This usually measures with CVP or Ultrasound. CVP measurement is possible when we have a central line(subclavian or intra-jugular). Ultrasound brought a quick assessment of volume status or fluid
Continue ReadingTop Ten Mistakes in Residency
Top Ten Mistakes in Residency by: Peter Deblieux
Continue ReadingDiagnostic Accuracy of VBG in DKA
We 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 ReadingTop Ten Documentation Mistakes
ACEP’s Video presentation of Dr. Greg Henry and Dr. Gillian Schmitz discussing the top ten documentation mistakes.
Continue ReadingEmergency Medicine Past and Future
Emergency-Medicine-Past-and-Future by: Peter Rosen
Continue ReadingFast Track
How to do Lung Ultrasound to rule out Pneumothorax! 1. Select your probe: Linear probe, or vascular probe with low penetration and high frequency.
Continue ReadingWhich Anti-emetic for Undifferentiated Vomiting
Which Anti-emetic for Undifferentiated Vomiting By: Ingrid Lim
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