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RESUSCITATE NYC 2016 – Report

Resuscitate NYC 2016 was amazing. Special thanks to Scott Weingart (@emcrit) and Felipe Teran (@FTeranmd) who made it all possible! Get an inside look at how it all happened. Attendees:  540 EM Residents 50 Faculty from EM and CC 50 EMS, RNs, PAs Speakers:  14 Speakers 10-15 Minute talks 8 Medical Centers Represented Twitter #resusNYC16: Read more

Name That Poisonous Beast!: the Final Episode

In my last day as TR, I will end with a final “Name that Poisonous Beast!”.  Farewell, to poisonous beasts everywhere!  In this case, back in the garden. Name this poisonous beast! A) And it’s amphibian colleague: B)Read more

It’s Back! Name That Poisonous Beast! (reprise)

And back by popular demand, it’s another installment of “Name that Poisonous Beast!” Name this poisonous beast! A) And it’s stony neighbor: B)Read more

Shouldn’t I Just Give the Little Guy Some Albuterol?

You see a 20 month old with no PMH who has been wheezing and coughing for a few days.  His cousin has RAD.  Should you just give him a little albuterol and see how he does? Here’s his x-ray: What are you concerned for?Read more

Status – but What if the Seizing Doesn’t Stop?

Status epilepticus is one of the few neurologic emergencies.  Many protocols for persistent status involve dosing with a benzodiazepine, then another benzo, then an antiepileptic medication, and finally, continuous sedation with intubation.  The Sinai protocol is found here. But what if the seizing doesn’t stop?  How long can we wait for these medications to workRead more

Is Papain Back for Food Bolus Management?

What do you think?Read more

Can’t Sedate Me! I’m Allergic to Haldol.

A 24yo M with hx schizophrenia presents to the ED agitated, threatening staff and making gestures of self-harm.  You are unable to verbally deescalate him and go to order some sedative medication.  However, on his chart you see “Allergy: haloperidol”.  What does this mean?Read more

A Pain in the Back – Do Patients Need More Than Nsaids?

A recent double-blinded, RCT from JAMA investigated the relative efficacies of naproxen + placebo, naproxen + cyclobenzaprine and naproxen + oxycodone/acetaminophen on functional impairment in acute onset (<2 weeks), non-traumatic, non-radicular low back pain in the non-elderly (<64).  Their findings: Of 390 patients that met inclusion criteria, there was no added benefit on functional impairmentRead more

No Plasmalyte in Cms Sepsis Bundle: Does This Matter?

CMS recently produced a new sepsis measure/bundle that has many EM and critical care docs up in arms.  I’m not going to focus on their definition of sepsis (save your rage for later), but instead on the fact that their definition of resuscitative crystalloid specifies ONLY LR or NS.  So to be truly within guidelines,Read more

Name That Poisonous Beast! (part 4)

It’s the final part of “Name that Poisonous Beast!”.  Today, we’re going to take a walk in the garden. Name this poisonous beast! A) And it’s seedy neighbor: B)Read more