ACLS management of PEA arrest is traditionally done using CPR, epinephrine and running through the H’s and T’s. Unfortunately, the H’s and T’s can be difficult to recall in a stressful situation, and furthermore, they do not approach cardiac arrest in a physiologic manner. We recently reviewed the following paper that uses a novel approach to […]
Empiric antibiotics after cardiac arrest?
The July 2014 EM:RAP Paper Chase reviewed a paper claiming 38% of OHCA (Out of Hospital Cardiac Arrest) patients are bacteremic, and thus we should routinely give antibiotics to post-arrest patients. We reviewed this paper at the Calgary Journal Club recently and unfortunately, the authors conclusions are more leap of faith than anything else. This single […]
The Negative or Inconclusive Ultrasound in Appendicitis – Can a CDR help?
The September edition of journal club featured two articles focused on the diagnosis of appendicitis. These articles each highlight some critical EBM points, which is why I’m breaking them apart into separate posts. This post will only focus on the first article, which examined a potential clinical decision rule for the management of patients with […]
SOCMOB joins REBELEM
Hi all, I’m excited to report that I’ve joined the group over at REBELEM.com (Rezaie’s Evidence Based Evaluation of Literature in Emergency Medicine) and my first post on the use of Colchicine for treatment of pericarditis is now up. For those of you who don’t follow REBEL:EM, what are you waiting for? With Salim Rezaie […]
Novel therapies for Anterior Epistaxis (Calgary EM Journal Club)
Epistaxis can be managed in many ways, from a simple squeeze of the nose to stuffing it with a tampon, and everything in between. Today we’ll look at two novel methods of managing anterior epistaxis, one of which has become my go to for the moderate, non-anticoagulated bleeder. Both of these techniques obviate the need […]