A Matter of Convenience: Improper Drug Dosing in the ED

Motov-Ketorolacposter

Sergey Motov (@smotovmd) sparked an interesting Twitter debate last month with his poster that looked at ketorolac (Toradol) dosing in the ED. I have previously written about ketorolac in NSAIDs parts one, two and three. Elisha Targonsky (@ETube) commented that the equi-analgesic and less GI toxic 10 mg ketorolac dose is standard in his ED.  […]

Hyperkalemia myths from EMLyceum

Hi all, Short post today, as I just want to acknowledge the great work of another blog over at EMLyceum. The myths of hyperkalemia management are many.  While I have discussed the uselessness of kayexalate in my introductory post, I was thinking about discussing ECG changes and the “textbook progression” so often cited with peaked […]

NSAIDs Part 1: Which one is best?

–> I love NSAIDs!  Yup, love ‘em! NSAIDs (Non-steroidal anti-inflammatory drugs) are some of the best analgesics available, plus they’re generally over the counter.  Despite their daily use for decades, NSAIDs remain sorely misunderstood.  I know they’re not a panacea, and they have some serious side effects in certain populations.   But for healthy patients without […]

Thiamine Before Glucose will not cause Wernicke’s Encephalopathy

If there’s one area of medicine that suffers from more dogma than any other, it’s toxicology.   I’m not razzing tox, I love tox.  But management in toxicology usually = throw kitchen sink at patient, followed by a case report that concludes the last intervention done just prior to the patient improving is a new treatment […]