It has been a busy day in your emergency department. The precipitous delivery that occurred at triage was complicated by shoulder dystocia. Luckily you had some help, and one of your colleagues is managing the neonatal resuscitation. Nurses are starting to congratulate mom and pat you on the back, when […]
First10EM resuscitation plans
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My approach to status epilepticus is somewhat more aggressive than commonly taught algorithms. It is summarized (overly simply) as “benzo → benzo → propofol”. There have been a number of concerns raised with this strategy recently on twitter. This post outlines the reasoning (and limited evidence) behind my seizure algorithm.
Case EMS arrives with a 39 year old woman in the midst of a generalized tonic clonic seizure. The seizure has lasted at least 12 minutes now, so this is status epilepticus. No information is available about her past history. The paramedics were unable to start an IV, but did […]
I have ranted previously about my concern that sucrose, despite its widespread use in pediatrics, is not actually a pain medication. I repeated that rant this week as part of the SMACCmini pre-conference day. However, it is always frustrating when people point out problems without offering solutions. This blog post […]
A summary of the emergency medicine approach to respiratory distress in the patient with a tracheostomy
A guide to the initial emergency department management of patients with pulmonary hypertension and right ventricular failure