5 Minute Journal: Second Antibiotic Delays in Sepsis
Author: Dr. Tisma Background/Study Question How often do septic patients receive their second antibiotic dose later than they should? What are the risk factors for these delays? And do these…
5 minute Journal: Hydrocortisone + Fludrocortisone for adults with septic shock
Author: Vanessa I. Petrak, M.D. Background: Septic Shock is a dysregulated host response to infection, resulting in life-threatening circulatory, cellular, and metabolic abnormalities. Sepsis is associated with a dysregulated response of…
5 minute Journal: Shocking Norepi Use
Author: Dr. Collin Wulff, DO Study Question: Does early low-dose norepinephrine improve shock control in those with sepsis with hypotension? Design: Mostly good buzzwords here; single center, randomized, double-blind, placebo…
GCS < 8... Intubate?
Author: Dr. Catherine Buckley
It’s catchy. It rhymes for love’s sake! But is it necessary?
5 Minute Journal: Central Line Placement
Author: Lauran Wirfs
Background:
Central venous access is an important procedure for critically ill patients. One consideration when placing a venous catheter is the risk of catheter-related bloodstream infections (CRBIs), which can be a significant cause of morbidity and mortality in hospitalized patients. In 2012, there were 15 million central venous catheter (CVC) days per year in the US in ICUs, and the rate of infections per catheter days is 3/1000. This post looks at a systematic review done by Marik et. al. that examines CRBIs among internal jugular, subclavian, and femoral central venous sites.
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Resuscitative Hysterectomy aka Peripartum C-Section
I hope I never ever have to do this, but these people at the Essentials of EM conference make it look easy. I think this is worth watching. Some points…
Cricothyrotomy Video
Ruben Strayer of EMUpdates posted a great video on how to do a cricothyrotomy. The only things that I would change are I would likely be swearing a lot more out…
Neonatal Resuscitation
Part One Part Two
How to use the BiPAP Vision non-invasive ventilator
Here Ed shows us how to attach the “BiPAP machine” to the wall and mask. You don’t have to set anything. It really is that easy. Sorry for the jitteriness…