All the juiciest new Resuscitation and Acute Critical Care Literature updates.
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Nassau University Medical Center
No conflicts of interest (coi).
Professor
Nassau University Medical Center
No conflicts of interest (coi).
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Hi Scott! You are one of my few heroes who can discuss maybe 20 hours of journal club material in 12 minutes. And more effectively. 1. I’ve been using 1500 units of Kcentra ( prob after one of your pods) for years … will cut to 1000 now. 2. The nyu Bellevue Tox people have been warning us for 20 years to avoid flumazenil for benzo reversal.( or certainly be wary). Causes seizures in benzo addicted patients. I actually went to a Goldfrank lecture 100 years ago. And one night in an Illinois ER I called the New York poison… Read more »
One last comment
Paul Marik is a friend. First met him here on your blog of course…
Was very disheartened by the Citrus trial, and now this I guess.
But while I don’t start any such cocktails in my shop, I do take 2 gms Vit C and 200 mg thiamine when I’m ill.
Thanks , Scott
where can I find your guide to better quicker use of nicardipine as opposed to the package insert?
Excellent, thank you very much!
Question: is there any situation where do you use flumazenil? If yes, when and why?
Cheers
Bernardo
if i recall , i actually heard dr Goldfrank (of rob hoffman) say flumazenil might be helpful if you have an acutely altered patient that you suspect may be acutely poisoned with a benzo (eg, suicide attempt), and may need intubating. Then you might try flumazenil. Diagnostic and therapeutic. The danger of course is the chronic user , addicted to benzo’s, and flumazenil can cause severe seizures.
i think that’s accurate.
tom fiero
caution about PATCH – those patients had small bleeds, high GCS, anterior circ bleeds . If a patient has dysfunctional platelets with a spot sign, large expanding blee,posterior bleed or getting an Evd I think giving platelets or ddavp is probably indicated