Zika: What We Know & What We Don’t

The WHO declared a Public Health Emergency of International Concern on February 1st, 2016 due to the outbreak of microcephaly and Guillain-Barre Syndrome cases associated with the Zika virus. Here’s a quick review of what we do and do…

Narcan for the road?

     I could bullet point plenty of statistics, but I don’t think I have to convince you: there is an opioid epidemic and it is getting worse.       We all have treated patients for opioid overdose in the ED. We also frequently identi…

A V-Tach of Another Color

Here’s an EKG you may never have seen before.  Only slightly frightening, right?  The rate is tachycardic and the width of the QRS tells you that it is coming from below the AV node.  The defining feature here is that the QRS complex…

Know Your A-Lines (Part 2)

Once you understand the basic functions of the components of your arterial line set-up and know how to position it properly the next level of mastery involves spotting other errors and optimizing them. If you notice that your pulse pressure…

Know your A-lines!

Arterial lines can provide accurate, real-time information on your patient’s blood pressure.  They can be vital in cases where you want to trend precise blood pressure goals or where BP cuffs are producing incongruous measurements in…

May 2016
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