We've discussed SEPSIS a ton on EMCrit.Podcast 154 - Preemptive Sepsis Panel SmaccBack Wee - Cliff Deutschman with Additional Thoughts on Sepsis 3.0 Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications Podcast 112 - A Response to the Marik Sepsis Fluids Lecture Podcast 169 - Sepsis 3.0 with Merv Singer Podcast 89 - Lessons from … [Read more...]
Practical Evidence 014 – ACEP Procedural Sedation Update for 2013
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...]
Practical Evidence 013 – ACEP Management of Asymptomatic Blood Pressure 2013
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...]
Episode 12 – New Trauma Guidelines: ATLS and Spine
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...]
Episode 11 – Ischemic Stroke 2013
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...]