More tox FOAM stuff from this week: A couple podcasts from EMRAP covering both treatment of severe EtOH withdrawal as well out outpatient treatment of mild EtOH withdrawal: https://www.emrap.org/episode/nov/alcohol https://www.emrap.org/episode/thepsychiatryof/alcohol Phenobarb monotherapy for EtOH withdrawal: http://emcrit.org/pulmcrit/phenobarbital-monotherapy-for-alcohol-withdrawal-simplicity-and-power/ Overview of cannabinoid hyperemesis syndrome from LITFL: http://lifeinthefastlane.com/therapeutic-showering/ Finally, overview of valproic acid toxicity: http://www.aliem.com/valproic-acid-induced-hyperammonemic-encephalopathy/
Category: FOAM of the Week
Jan 12
FOAM of the Week – Chemical Terrorism, NOAC Reversal, Necrotizing Soft Tissue Infections
Continuing our tox topics this week, as well anticoagulation reversal and Nec Fasc: A timely overview on chemical, biological, radioactive and nuclear threats from St Emlyns, including info on irritant gases, nerve agents, and vessicants: http://stemlynsblog.org/cbrn-an-introduction/ Learn about the literature behind Praxbind: http://rebelem.com/noreversaban/ Look out for Andexanet Alfa on the horizon: http://www.emlitofnote.com/2015/11/the-great-reveal-of-andexanet-alfa.html Overview of Nec Fasc including the …
FOAM of the Week – Drug-Induced Seizures, Iron Toxicity, Serotonin Syndrome and NMS
Back from the holidays with some great tox subjects: New onset or refractory seizures? Think tox! Check out this review of toxicologic causes of seizures from LITFL: http://lifeinthefastlane.com/toxicology-conundrum-023/ Review of iron toxicity from ALIEM: http://www.aliem.com/management-iron-toxicity/ Overview of Serotonin syndrome and NMS from EmDocs: http://www.emdocs.net/serotonin-syndrome-and-neuroleptic-malignant-syndrome-pearls-pitfalls/
FOAM of the Week – EtCO2 in Cardiac Arrest, PCP Pneumonia, Guillain Barre, Lactate Clearance
As always, some great FOAM topics from this week’s lectures. Expand your knowledge… Learn how to use End Tidal CO2 to improve your cardiopulmonary resuscitation: http://stemlynsblog.org/als-airway-breathing-c02/ Summary and various radiographic findings of PCP pneumonia: http://stemlynsblog.org/als-airway-breathing-c02/ A great summary of Guillain Barre from EMRAP: https://www.emrap.org/episode/april2006/guillainbarre Thoughts from Weingart on lactate clearance: http://emcrit.org/wee/lactate-clearance-flawed/
FOAM of the Week – Bougie Cric, DSI, Hyponatremia, Hyperkalemia, Ketamine
Lots of good stuff from this week’s lectures. FOAM away… Bougie-guided cric: http://emcrit.org/procedures/bougie-aided-cric/ Management of acute hyponatremia from EMCrit: http://emcrit.org/podcasts/hyponatremia/ Kayexalate – it’s a bunch of crap (literally): http://rebelem.com/kayexalate-useful-treatment-hyperkalemia-emergency-department/ Delayed Sequence Intubation: http://emcrit.org/podcasts/dsi-update/ Ketamine, a great drug: http://blog.ercast.org/the-brain-on-ketamine/ http://emupdates.com/2013/12/25/the-ketamine-brain-continuum/
FOAM of the Week – Shoulder Dislocation, Knee Dislocation, Genitourinary Trauma
Thought I would share some trauma stuff that came up on recent shifts since it was class day today. Enjoy! A newer technique for reduction of shoulder dislocations – haven’t tried it yet but looks super-easy: http://www.foamem.com/2013/06/25/trick-of-the-trade-got-a-shoulder-dislocation-park-it/ Knee dislocations – remember, >50% will spontaneously reduce upon presentation, so need to have a high index of …
FOAM of the Week – Status Epilepticus, EMTALA
Hope everyone had a great Thanksgiving and ate tons of turkey. Here’s a few things from lecture this week: A podcast discussion on Status Epilepticus from EMCrit: http://emcrit.org/podcasts/status-epilepticus/ Or, if you prefer, a written summary from First10EM: http://first10em.com/2015/11/16/status-epilepticus/ A good overview of some things you need to know about EMTALA from EMRap earlier this year. Remember, most …
FOAM of the Week – Back Pain
This week’s FOAM of the Week is a pain in the back… *crickets chirp* We see tons of back pain, most of which are benign, but a few can have serious etiologies. Listen to this EMRAP review to know what red flags to look out for: https://www.emrap.org/episode/november2013/mizuhoreviews High risk causes of back pain from ALIEM: http://www.aliem.com/high-risk-back-pain-spinal-epidural-abscess/ …
FOAM of the Week – Nerve Blocks, Hip Dislocation, General Orthopedics
Some good MSK stuff this week to supplement our skills day. Enjoy You learned the posterior tibial block to anesthetize the sole of the foot, now try some hand blocks: http://www.sonoguide.com/radial_plexus_block.html http://www.sonoguide.com/median_plexus_block.html http://www.sonoguide.com/ulnar_plexus_block.html Don’t sweat your hip reductions, try the Captain Morgan Technique: http://regionstraumapro.com/post/10201631357 https://www.youtube.com/watch?v=lQMWaFX-MeQ Question about something ortho related? A great comprehensive resource: http://www.orthobullets.com/
FOAM of the Week – TXA in Trauma, Submassive PE
Since there was no formal lecture today, I’ve included a couple pieces related to issues that have come up on recent shifts. Enjoy! TXA (tranexamic acid) in trauma – a nice review from emDocs. Of note, the reasons why you haven’t seen this given at Grady is because it’s stocked in the OR and the …