In the U.S. most DKA is managed in the ED with IV insulin drips, but short acting subcutaneous regimens can be just as effective. The subcutaneous regimen should utilize asparte not regular insulin and requires dosing at 1hr or 2 hour intervals depending on the chosen protocol. The subQ regimen is more utilized in Europe but is worth discussing with your pharmacist in order to have an alternative means of managing a DKA patient.… Read more
Pediatric Emergency Playbook is a new pediatric EM podcast to help make tough calls when caring for acutely ill and injured children. Check out their great podcasts on:
The goal of vasopressor use is to reach critical organ perfusion pressure. Estimated required mean arterial pressures (MAP) are listed in the vasopressor review by organ. It is generally safe to aim for a goal map of 65 mmHg. Vasopressors also promote increased venous return and should be used in septic patients after failed response to adequate volume resuscitation.… Read more
Correspondence in Annals of Emergency Medicine about WikEM’s important place in social media: http://authors.elsevier.com/a/
Blogs, podcasts, videocasts, social networks, and custom search engines are all important resources for stimulating research discussion and improving medical education. However, as acknowledged by Thoma et al, “to make effective use of this stream of knowledge, learners must filter and choose from myriad resources.”2 We suggest that the wiki is a key social media tool to organize and summarize this growing body of online information. It also has the added benefit of providing easy access to consensus information in the middle of a shift, allowing clinicians to provide better care while at the bedside.