In the January 2014 instalment of the journal club, the Calgary EM program reviewed the recent practice changing paper on cooling (AKA therapeutic hypothermia) after out of hospital cardiac arrest. For more discussion of this paper, you can check out TheSGEM Episode 54 and this EMCrit Podcast and EMCrit Wee with Jon Rittenberger. Read on for our […]
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 […]
Evidence Based Management of Acute Heart Failure: Forget LMNOP, think POND!
Case: Imagine you are an attending ED physician supervising a learner. A 72 year old female presents to the ED with cough and shortness of breath worsening over a week. She has a history of Afib, previous MI, diabetes and dyslipidemia. She has recently been non-compliant with her meds and has been taking some ketorolac […]
NSAIDs Part 3: Gastrointestinal Side Effects and Toxicity
In part 1 of our discussion on NSAIDs, we discussed the equal efficacy of various NSAIDs, while in part 2, we looked at the concept of an analgesic ceiling effect when using NSAIDs. Congrats to all of those who identified the ceiling in part 2 as the Chihuly work at the Bellagio in Las Vegas. […]
NSAIDs part 2: The Ceiling Effect
Sorry readers. I’ve been slacking off on vacation in NYC, eating too much and blogging about food more than medicine. Tonight at dinner with Mr. EMCrit, Scott called me out a bit for insufficient content. Also, one of my readers has some rounds coming up soon, and needs to talk NSAIDs. With that in mind, […]