January 2016 – Emergency Medicine Education

Nasal Cannula and Pre-oxygenation

January 24, 2016Pourmand

If we add nasal cannula to nonrebreather face mask or BVM with air leak, we will improve pre-oxygenation phase. This study that just published in Annals of EM enrolled 6o Healthy volunteers ,30 nonrebreather face mask and 30 bag-valve-mask. There will be an argument that Healthy lungs will be different from patients with restrictive or […]

Ultrasound Guidance Facilitates Radial Artery Catheterization

January 22, 2016Pourmand

Very happy to see US guided artery line is now in CHEST! Twelve trials used dynamic two-dimensional (2-D) ultrasound (N = 1,992). The study showed decreases first-attempt failure, mean attempts to success, mean time to success, and the occurrence of hematoma complications. Link to CHEST

Shoulder dislocation

January 13, 2016Pourmand

There is a very good review of managing shoulder dislocation. It is not EBM, but worth to read.

Migraine and Diphenhydramine!

January 13, 2016Pourmand

I am fan of Metoclopramide + Diphenhydramine or Prochlorperazine + Diphenhydramine for Migraine Headache, and I see a lot of good outcome among patients with headache. Annals of EM published “Diphenhydramine as Adjuvant Therapy for Acute Migraine: An Emergency Department–Based Randomized Clinical Trial”. I am not sure that I am ready to start practicing this […]