article thumbnail

ECG Pointers: A Dynamic Approach to Tachydysrhythmias Part 4

EMDocs

2014 Aug;10(3):262-76. These are very commonly encountered in the emergency department, so being able to correctly identify the rhythm is extremely important. Lets dive in! When you are presented with a tachycardic ECG, we want you to focus on two major factors right away. It could be VTach or SVT with aberrancy. EKG Teaching Rounds.

CAD 96
article thumbnail

Agitated with a head injury: Will Ketamine make it worse?

NAEMSP

A 2014 literature review looked specifically into published studies that measured the effects of Ketamine on ICP in traumatic brain injured patients. 2014 Aug;21(1):163-73. Ketamine is thought to work as an antagonist at the NMDA receptor and has a dose dependent response [1]. Ketamine can also be used at a lower dose (0.1-0.3mg/kg

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Employ a Trauma-Informed Approach to Care

ACEP Now

1 A significant number of patients present to the ED with concerns related to traumatic experiences. 1 A significant number of patients present to the ED with concerns related to traumatic experiences. These concerns may be a direct result of trauma (e.g., injuries following an assault), or an indirect result of trauma (e.g.,

article thumbnail

Emergency Evidence Updates – May 2025

The Bottom Line

Journal of Hepatology Association of central capillary refill time with mortality in adult trauma patients: a secondary analysis of the crash-2 randomised controlled trial data Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Dorsal Digital Nerve Block Versus Ultrasound-Guided Selective Peripheral Nerve Block for Finger Analgesia: (..)

article thumbnail

emDOCs Revamp: Alcohol Withdrawal

EMDocs

fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

E-9-1-1 100
article thumbnail

EM@3AM: Stercoral Colitis

EMDocs

Up to 1/3 of adults over 60 suffer from chronic constipation. Evaluation: A good history and a high index of clinical suspicion is paramount, especially in high-risk patient populations 4 CT of the abdomen and pelvis with contrast is the best choice for diagnosis. Enemas (some studies show this may be associated with perforation risk).

E-9-1-1 96
article thumbnail

Push-Dose Pressors in the Emergency Department

ACEP Now

My goal in this column is to share tips, tricks, and emerging concepts from the intensive care unit (ICU) that you can use on your next shift in the emergency department (ED). If there are topics that you want me to cover, don’t hesitate to reach out. Known hypotension, as a bridge to a continuous infusion of a pressor. Unanticipated hypotension.