Peripheral Neuropathy

We frequently encounter non-emergent conditions in our clinical practice, such as peripheral neuropathy, which may not represent an acute emergency but can be significantly disabling for patients. A comprehensive and up-to-date review published in JAMA provides an in-depth overview of this topic, offering valuable guidance for our emergency providers. Link to article

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Defibrillation during hypothermia

Defibrillation is often considered ineffective in hypothermic cardiac arrest patients with shockable rhythms, particularly at core temperatures ≤30 °C, and the optimal timing and number of shocks as well as the role of rewarming have remained uncertain. However, a retrospective observational study published in Resuscitation showed that defibrillation attempts can be successful even before rewarming […]

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Ketamine or Etomidate for Induction for Intubation on critically ill Patients

There remains significant controversy regarding the optimal induction agent for rapid sequence intubation (RSI), particularly when comparing etomidate and ketamine. Concerns surrounding etomidate center on its potential to cause transient adrenal suppression, which has raised questions about possible harm in critically ill patients. However, it is unclear whether this theoretical risk translates into meaningful clinical […]

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