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Conference was a little different this week.  Thanks to all who visited — Sinai EM grad Dr. Roland Merchant of Brown, Professor Paul Klotman, Sinai’s Chair of Medicine, and Dr. Calfee from ID. Also thanks to our own speakers and panelists –Drs. Goodman, Nassisi, Jagoda, Strother and Shoenstein.

Some points I thought bear repeating, or that I want to expand upon:

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Dr. Lewis Goldfrank’s lecture on alcohol withdrawal is now up on the Conference page.  Give it another listen, as Dr. Goldfrank is a very engaging and provocative speaker. And be sure to review our own Dr. Olmedo’s chapter on withdrawal syndromes, which includes a great section on alcohol.

As for my senior lecture, there were many topics I didn’t get to include — so let me just point you to a few excellent articles and some practical tips:

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Guest blogger Marisa has written up an expert review of our recent Journal Club discussion of clevidipine, as presented by Dr. Joshua Kosowsky of Brigham & Women’s Hospital:

Just last week, Clevidipine (Cleviprex) was approved by the FDA, making it the first new IV drug approved for high blood pressure in the past 10 years. Dr Joshua Kosowsky introduced us to Clevidipine when he discussed the VELOCITY (The evaluation of the effect of ultra-short-acting clevidipine in the treatment of patients with severe hypertension) trial as published in the June 2008 Annals of Emergency Medicine (PMID: 18534716), “Clevidipine, an Intravenous Dihydropyridine Calcium Channel Blocker, Is Safe and Effective for the Treatment of Patients With Acute Severe Hypertension” (residents: the PDF of this journal is online). More below:

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Hello everyone,

We had an enjoyable conference this week. Thank you to our resident speakers, Sheler and Shawn, and to our faculty presenters — Dr. Ginsburg, Dr. Strayer, Dr. Weingart and Dr. Andrus. Also thanks to the cardiology department for their participation in Sheler’s joint conference, and to Sohan, our graduating conference chief, who was on hand to lend his expertise with AV and other issues.

Below are some topics from conference that I wanted to touch upon — stuff that struck my fancy, really. Feel free to add your own in the comments section below.

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When I was preparing an M+M last fall, I came across this notable study called Management of Acute Undifferentiated Agitation in the ED: A Randomized Double-Blind Trial of Droperidol, Ziprasidone, and Midazolam . It’s by Martel et al (including Michelle Biros, who’s editor of Academic Emergency Medicine), and appeared in Academic Emergency Medicine in December 2005 (Vol 12, No 12, pp1167 – coincidentally, right after Dr. Richardson’s EMPATH study).

It’s a good study that we might otherwise overlook, because it came out on the eve of the ACEP guidelines for agitation management and thus, wasn’t included in that extensive lit review.

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In the growing backlog of articles and journal club presentations I’d like to write up, I came across this publication which was presented a few months back — Does End-tidal Carbon Dioxide Monitoring Detect Respiratory Events Prior to Current Sedation Monitoring Practices? from Burton, Harrah, Germann and Dillon in Academic Emergency Medicine 2006; 13:500-504. My notes on the presentation have long since disappeared (I believe it was given by… Tim?) but my interest in the topic was rekindled after a recent M+M.

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