Resuscitation

Reading Time: 4 minutes Should we be using Lactated Ringers in sepsis? Won’t we increase the lactic acid further? Here we discuss the flawed reasoning behind blaming Lactated Ringers for exacerbating lactic acidosis.

Reading Time: 3 minutes Patients presenting to the ED after an out-of-hospital cardiac arrest may harbor serious conditions that warrant prompt recognition and management. Does a pan scan of these patients impact diagnostic accuracy and hospital survival?

Reading Time: 4 minutes Should we be using Lactated Ringers in hyperkalemia? Won’t we increase the potassium further? Here we discuss the flawed reasoning behind avoiding Lactated Ringers in hyperkalemia.

Reading Time: 3 minutes For decades EMS clinicians have been trained to expedite transport to the hospital for the sickest patients. Rapid movement to transport often occurs at the expense of aggressive medical intervention and current evidence suggests that for certain patients this practice may be deleterious.

Reading Time: 4 minutes Intravenous vitamin K can be given for warfarin reversal, although the exact dose may depend on the clinical scenario.

Reading Time: 3 minutes Is there a role for propofol in the management of ventricular storm? Like with most things in Medicine, focus on the big picture.

Reading Time: 2 minutes Do you frequently administer calcium to all of your patients in cardiac arrest? Is this practice supported by evidence? Dr. Peppin discusses the literature in this short post.

Reading Time: 4 minutes What are the key components of an efficient and detailed EMS handoff? Dr. Seth Kelly brings in his prehospital expertise in this post.

Reading Time: 8 minutes The Surviving Sepsis Guidelines provided a framework to manage our sick sepsis patients. Here are some updates for our emergency department patients. What do you think?

Reading Time: 4 minutes The Pre-brief Acute liver failure (ALF), decompensated cirrhosis, and acute-on-chronic liver failure (ACLF) comprise some of the most challenging diseases…