You get a patch from EMS that they are bringing in a patient from dialysis with a complication of their AV fistula. Take the time now to update yourself on bleeding fistulas, clotted fistula, and more at WikEM – Dialysis Complications.… Read more
Check out the 2013 and 2014 Choosing Wisely Campaign ACEP Recommendations!
In this section you can reviewed what ACEP considers care that is supported by evidence, free from harm, and truly necessary. In addition, check out the hyperlinks to learn more details about each of topics included, from PERC rules for PE to red flags in back pain… Read more
Moonlighting overnight in the MICU? Looking for a different strategy for a difficult to vent that SICU patient? Forgot the initial vent settings will intubating at your rural affiliate?
There is a broad range of information covering topics from initial intubation, trouble shooting, changing ventilation settings and modes, and indications for vent weaning.
32 year female with type 1 DM presents with fever, cough, nausea, and abdominal cramping. Finger stick on arrival is 357 and she has ketonuria on urine dip. What is the work up? When do you start supplemental potassium? Do you go for IV or subcutaneous insulin?
Take a moment to brush up on the management of Diabetic Ketoacidosis. Review the differences between IV and subcutaneous regimens. Expand your differential for causes. Know the risks of intubation.… Read more
67 year old male found in cardiac arrest. EMS performed one round of CPR, epi, and single shock before ROSC. On arrival he withdraws to painful stimuli, but is otherwise unresponsive and he does not open his eyes. Does this patient meet criteria for therapeutic hypothermia?