Status epilepticus is associated with a high degree of morbidity and mortality. Approximately ⅓ of patients have long term neurologic sequela, and mortality is 3-5%. (Chin 2006; Raspall-Chaure 2006) First line treatment is with benzodiazepines, but benzos will fail approximately 30-40% of the time. (Appleton 2008) Therefore, an effective second […]
I had the honour of being part of the final SMACC conference, as one of a series of people interviewed for a segment entitled “Pacific Island Playlist”. In preparation, I was asked to consider one piece of advice for the audience. My advice: be curious. Originally, I was thinking mostly […]
The AHA released an incredible scientific statement that goes through a ton of information on the use of education in improving outcomes from cardiac arrest. Really, the stuff they are discussing here applies to all of medical education, and anyone involved in teaching should probably read it. However, it is […]
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 […]
Whenever you order a test, it is essential to know what you are going to do with the results. Tests, by themselves, cannot improve patient outcomes. Benefit can only occur if the test results in appropriate patients receiving a proven intervention.