Blog

ACC Withdraws Choosing Wisely Recommendation

The results of recent studies PRAMI and CVPRVIT have demonstrated that stenting nonculprit high-grade lesions during primary PCI for myocardial infarction reduces adverse events, and has prompted the ACC with withdraw its ABIM Choosing Wisely campaign.

Structured debriefing for codes and resuscitations

Continuous improvement and future performance of codes and resuscitations can be achieved with structured debriefing to provide feedback to participants by exploring teamwork, communication, technical aspects, equipment, and provide emotional release.

Ammonia Inhalation Injury

Inhalation of noxious gases and fumes, including ammonia, nitric acid, sulfur dioxide, and chlorine gas can cause pulmonary injury including direct toxic effects and secondary ARDS requiring mechanical ventilation and permanent respiratory difficulties.

Improving your echocardiograms with contrast agents

Echocardiograms can often be limited by poor sonographic windows, but using an echo contrast agent can improve visualization of the left ventricle and detect right-to-left intracardiac shunts. Introduction to the various agents, their principles and use.

Case report of asystole after intralipid treatment

The Hennepin Regional Poison Center have published a case series of asystolic cardiac arrest after treatment with intralipid. The authors readily acknowledge the difficulty of assigning causality, and caution against dramatic practice changes.

Physical Exam Clues in Toxicology – Part 2: Skin

Diagnosis of the poisoned patient can often be accomplished before toxicologic laboratory tests by obtaining a detailed history and directed physical exam. In this second of three articles, we will examine the toxicology clues revealed by the skin.

Physical Exam Clues in Toxicology – Part 1: Eyes, Hair, Nails, and Tongue

Diagnosis of the poisoned patient can often be accomplished before toxicologic laboratory tests by obtaining a detailed history and directed physical exam. In this first of three articles, we will examine the toxicology clues that can be found in eyes, hair, nails, and tongue.

Acute subclavian artery thrombosis causing ACS

79-year-old women has severe aortic stenosis and 2-vessel coronary artery disease s/p coronary artery bypass graft who developed acute dyspnea. She was found to have chronic occlusion of her vein graft and acute thrombosis of her subclavian artery, causing diffuse cardiac ischemia and myonecrosis.

Difficult intubation caused by subglottic tracheal stenosis

A frustrating type of difficult intubation occurs when you are able to cannulate the trachea, but are unable to pass the endotracheal tube. This case is of a patient who had a decannulated tracheostomy and developed subglottic tracheal stenosis.

Therapeutic Hypothermia: The History of General Refrigeration (Podcast 02)

The Targeted temperature management Trial compared outcomes for therapeutic hypothermia at 33°C versus 36°C for cardiac arrest patients with persistent coma. It may very well be practice changing. Or maybe not. Before we can figure out what “truth” this research study may have uncovered, we will look at the development of therapeutic hypothermia and what the literature has already told us.

Preparing and Using a Glucagon Emergency Kit

Glucagon Emergency Kit is an an injectable form of glucagon available for treatment of hypoglycemia, beta-blocker overdose, calcium channel overdose, or impacted food bolus. Knowing how to preparation the Glucagon Emergency Kit is time critical knowledge in the ED.

How to Make an Elbow Pad for Olecranon Bursitis

The pain of pressure or bumping an swollen inflamed olecranon bursitis is often quite severe. A foam elbow pad can prevent direct impact and avoid causing additional pain. This how-to tutorial will show you how to make one from materials around your department.