Aug 30, 2018
Author: Don Stader, MD
Educational Pearls:
- 8014 patients with out-of-hospital cardiac arrest randomized to epinephrine vs placebo
- 30-day survival was not dramatically better between groups (3.2%in the epinephrine group and 2.4% in the placebo group)
- Functional neurological outcome was nearly identical at...
Aug 28, 2018
Author: Jared Scott, MD
Educational Pearls:
- EKG changes do not necessarily correlate to degree of hyperkalemia
- Traditional progression through peaked T-waves, flattened p-waves, QRS widening, and then sine-waves before asystole
References
Mattu A, Brady WJ, Robinson DA. Electrocardiographic manifestations of...
Aug 24, 2018
Author: Erik Verzemnieks, MD
Educational Pearls:
- In the panic of a precipitous ED delivery, remember: Warm. Dry. Stim. It will solve most of your problems in most scenarios
- Start compressions if heart rate is less than 60
- Put the pulse ox on the right hand - it may make a difference as it is...
Aug 22, 2018
Author: Michael Hunt, MD
Educational Pearls:
Here is a list of some very toxic natural substances:
#5: Tetrodotoxin: Found in pufferfish and other aquatic species
#4: Ricin: made from castor beans
#3: Mercury: natural element absorbable through skin and gloves
#2: Batrachotoxin: found on poison dart frogs
#1:...
Aug 20, 2018
Author: Aaron Lessen, MD
Educational Pearls:
- Non-blinded randomized study assessing 30-day mortality benefit from plasma-first resuscitation in patients at risk hemorrhagic shock
- Study involved aeromedical transport of trauma patients
- 30-day mortality 23.2 % in intervention group vs. 33.0% in standard care...