Quick Hit – Femoral Central Lines
By Duncan Grossman, DO
Case of the Week (COW) #5
We have another cool EKG and arrhythmia coming in today, check it out!
Steroids for SJS and TEN?
Here’s a quick hit summary of the evidence regarding the use of systemic corticosteroids in the treatment of SJS/TEN
Case of the Week #3 – Why my flap sunken?
Case of the week #3 is brought to us by Dr. Nilesh Patel with a case of an entity that most of us have never heard of before! Check it out
Antibiotics for chest tubes
If you are cutting into someone’s chest to put a tube in it, should they get presumptive antibiotics? Check this out
Case of the Week #1
Our inaugural first Case of the Week is brought to you by Dr. Kristen Pena with a tricky EKG case!
Getting ready to intubate? Let’s pray they don’t DESATurate!
You head over to bed 44 to meet the BLS crew as they start telling you about an 82 year old man who has been having trouble breathing and is “confused” as per his family. His oxygen saturation when you check is 76% and quicker than you can say “sepsis”, the eager resident has popped …
Read more “Getting ready to intubate? Let’s pray they don’t DESATurate!”
Fat embolism syndrome
Typically when we start talking about anything related to fat embolisms our minds go immediately to trauma and long bone fractures as the cause, but this isn’t always the case. The constellation of signs and symptoms of respiratory insufficiency, neurologic dysfunction and petechial rash which are typically associated with fat embolism syndrome can also be caused by pancreatitis, sickle cell disease and liposuction; all of which show up regularly in the Emergency Department. With mortality rates as high as 20%, despite the fact that FES usually doesn’t present for at least 12 hours after the initial event, it should be something that we are aware of.
Fixed dose PCC?
In the past, vitamin K and FFP were the mainstays of reversing warfarin, but now we have fancy new drugs like four-factor prothrombin complex concentrate (4F-PCCs). 4F-PCCs can rapidly reverse the INR of warfarin induced coagulopathy with less volume and quicker than FFP. Many of the dosing regimens base the dose on the patient’s presenting …
Abdominal CPR?
There was a case report published in the Western Journal of Emergency Medicine last year about interposed abdominal compression CPR (IAC-CPR). Personally, I’ve never heard anything of the sort and had to take a deeper look into it. Essentially, you need two people to do compressions, one for the chest and one for the abdomen. …