EMCrit

Here is the policy: Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department They addressed 4 questions: 1. In patients undergoing procedural sedation and analgesia in the emergency department, does preprocedural fasting demonstrate a reduction in the risk of emesis or aspiration? Level B recommendations. Do not delay procedural sedation in adults or … [Read more...]

We discuss the management of asymptomatic markedly elevated blood pressure as evaluated by the ACEP Clinical Policies Committee in Sept 2013. The Policy ACEP Management of Asymptomatic HTN 2013 The Questions and the RecsIn ED patients with asymptomatic elevated blood pressure, does screening for target organ injury reduce rates of adverse outcomes?Patient … [Read more...]

Today, we discuss two new Trauma Guidelines ATLS 9th Ed. The 9th edition of ATLS has been published. In this episode, I review the changes from the 8th edition. Management of C-Spine Injuries We also go over the new management of spinal cord injuries from the Neurosurgeons Guidelines for the Management of Acute Cervical Spine and Spinal Cord Injuries from the American … [Read more...]

Ischemic Stroke Guidelines from the ASA Hot off the presses; the 2013 Ischemic Stroke Guidelines from AHA/ASA (Stroke 2013;44:870)Want the full recommendations as written by the AHA/ASA? Stroke CentersComprehensive Stroke Centers are god Should have neurocritical care unit EMS should bypass hospitals that can’t care for stroke Should have tele-rads if no in-house … [Read more...]