Previously we have discussed the use of propofol for migraine headache (part 1, part 2). In this post, we’ll look at another headache treatment that can be added to your armamentarium, the paraspinous cervical block. There are many standard cocktails for headache management in the ED, but unfortunately, many of these require an IV, fluids, […]
Propofol for Migraine Part 2
The use of propofol to treat migraine has been previously discussed here at SOCMOB. Today an interesting paper came to my attention thanks to Reuben Strayer over at EMupdates. Single dose propofol 1 mg/kg over 60 seconds effective for migraine in four cases. http://t.co/M1P9fMda4M — reuben strayer (@emupdates) November 6, 2013 This paper published by Mosier […]
CAEP 2013
Hey all, Just got back from the annual CAEP (Canadian Association of Emergency Physicians – eg. ACEP in Canada) conference in Vancouver. It was an absolute blast, with the highlight being a meet up with some fellow Canadian FOAMites, including Ken Milne of The Skeptics Guide to Emergency Medicine (@TheSGEM). Ken is a brilliant, hilarious […]
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 […]
Digital Intubation, and I Don’t Mean Video
Hey all, Listening to the May edition of EM:RAP yesterday, there was a segment by Patrick Shipsey on digital intubation. At first I thought this would be the same old, same old. That is, someone discussing the pros and cons of video and direct laryngoscopy. What I didn’t expect to hear was someone talking about […]