Case Your patient is bleeding. A lot. Their vital signs are abnormal. They look very sick. (I am being intentionally vague, because the post is going to look at massive hemorrhage in general, rather than getting into the specifics of any one condition.) This post is a condensed clinical summary […]
Resuscitation
31 posts
I can almost guarantee that everyone has heard about this paper already. It is an exciting topic. It is resuscitation and gadgets. It is emergency medicine in the New England Journal (which is great, despite how atrocious this journal often is.) So does double sequential defibrillation help? Let’s look at […]
My morning ritual of reading articles over coffee has transformed somewhat, such that there is a lot more playing with an infant, and a lot less evidence based medicine. Although the coffee isn’t going anywhere, it is usually cold by the time I have a free moment to get to […]
On paper, most of resuscitation is actually pretty easy. On paper, there are basic algorithms to follow. On paper, the steps are clear, and there are no obvious impediments to action. Unfortunately, real resuscitation rooms are nothing like textbooks. Knowing what to do is important, but far more important is […]
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 […]
A summary of the emergency medicine approach to respiratory distress in the patient with a tracheostomy
