Category: Uncategorized

EM Journal Club: SOFA and qSOFA utility? and Kidney Injury with Contrast?

May 18, 2017 Articles: An Emergency Department Validation of the SEP-3 Sepsis and Septic Shock Definitions and Comparison With 1992 Consensus Definitions.  Henning et al.  Annals of Emergency Medicine 2017 This was a secondary analysis of 3 prospectively collected, observational cohorts of 7,754 Ed patients with suspected infection, aged 18 years and older to evaluate Read More …

TEG ROTEM

Thromboelastogram, Life in the Fast Lane, Nickson, 7/2014 TEG and ROTEM for diagnosing trauma-induced coagulopathy in adult trauma patients with bleeding, Cochrane Review, 2/2015

TXA in Trauma

Colleagues, you have a trauma patient: middle age male, intoxicated, MVC 40 mph, hits tree with major intrusion to drivers side, seat belted, 30 min extrication time, arrival 1.5 hrs post accident. patient c/o pain left chest and pelvis/lower back pain, mild tachycardia in field improves with 100 mcg fentanyl, arrives with normal vitals, primary Read More …

PERC rule applied how and when?

27 y/o 3 weeks post cesarean section patient presents with mild chest pain, and short of breath, trace wheezing without history of asthma, afebrile, hr 80’s. You consider PE in your ddx can you use PERC? Nice post on EMdocs from 2014 PERC Rule: Application and Limitations  

Trauma 1

Trauma in Adults, Pediatrics, Geriatrics, and Pregnancy Fellow Reading Assignment:  Tintinalli’s Emergency Medicine, 8th Edition chapters 254, 255, 256, 110   Pediatric Trauma, Emergency Medicine cases, 5/2017, Dr. Helman   AIR Series ALiEM: Trauma Module 2017   Critical Procedures Videos: Resuscitative thoracotomy, tube thoracostomy, cricothyrotomy, lateral canthotomy and other trauma and critical care videos, University of Read More …

Trauma 2

Trauma of the Head, Spine, Face, Neck Fellow Reading Assignment:  Tintinalli’s Emergency Medicine, 8th Edition chapters 257, 258, 259, 260   Increased ICP and Herniation, Code Brain, EMCrit Podcast 2012, Weingart   NEXUS and Canadian C-spine rule flow chart, EMCrit 2012   Clinical clearance of the cervical spine in blunt trauma patients younger than 3 years: a Read More …