Some great FOAM stuff related to this week’s topics: Evidence behind BP reduction after ICH: http://pulmccm.org/main/2013/randomized-controlled-trials/in-intracerebral-hemorrhage-rapid-blood-pressure-reductions-were-safe-interact2/ Benzo Equivalent dosing calculator: http://www.globalrph.com/benzodiazepine_calc.htm Calcium Channel and Beta Blocker Toxicity review podcast (peds focused, but generalizable): http://www.pemed.org/blog/2013/4/15/calcium-channel-blockers-beta-blockers-and-undifferentiated.html
Category: Pharmacology
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 – 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 – 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 …
FOAM of the Week 10/27/15 – Anticoagulation Reversal, Dental Trauma
Hey guys, I picked a few topics for this past week since we didn’t have conference. I think you’ll find them helpful – check it out. One of the pharmacists was asking that I send some stuff out about PCC and anticoagulation reversal. I found a nice summary by Rob Orman from ERCast – it’s …
FOAM of the Week 10/20/15 – Anaphylaxis, Pressors
Some stuff related to this past week’s lectures (Sorry for the delay!) Great overview of anaphylaxis management: http://first10em.com/2015/07/20/anaphylaxis/ Do steroids prevent biphasic reactions? http://rebelem.com/may-2015-rebelcast/#more-3788 Need to start that anaphylaxis (or otherwise hypotensive) patient on epi but can’t wait for the bag to make it up from pharmacy? Use push-dose pressors! Especially helpful if you go …
FOAM of the Week 9/29/15 – Intimate Partner Violence, Human Trafficking, CHF
Thoughts on IPV and screening in the ED on EmDocs Blog: http://www.emdocs.net/intimate-partner-violence-an-emergency-department-perspective/ Great Podcast from EMRap on a related topic, Human Trafficking: https://www.emrap.org/episode/july2015/human ]https://www.emrap.org/episode/july2015/human1 Expert discussion in CHF management in ED from EMRap: https://www.emrap.org/episode/august2014/hippoemreviews https://www.emrap.org/episode/september2014/hipporeviewschf Using nitropaste instead of a drip: http://empharmd.blogspot.com/2012/11/pharmacy-consult-nitroglycerin-paste-to.html?m=1