Remove E-9-1-1 Remove ED Remove ICU
article thumbnail

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

Due in large part to the proliferation of anonymous chemical factories able to produce industrial volumes of inexpensive synthetic opioids without opium or other controlled precursors, fentanyl spilled into the United States, Canada, and Europe, heroin soon fell to market forces [1, 2]. Some patients require re-dosing in the ED.

E-9-1-1 161
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). For this inaugural column, I wanted to start with a topic near and dear to my heart: push-dose vasopressors in the ED. This column is for you!

professionals

Sign Up for our Newsletter

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

article thumbnail

emDOCs Revamp: Alcohol Withdrawal

EMDocs

What is the next step in evaluation and treatment? 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-9-1-1 101
article thumbnail

Is Pip-Tazo Harming Sepsis Patients?

REBEL EM

What They Did: Investigators performed a retrospective cohort study in the Emergency Department at the University of Michigan between July 1, 2014 through December 31, 2018. Imbalances Between Treatment Groups : ICU Admissions : Higher in piperacillin-tazobactam (33% vs. 30%). 9 Instrumental Variable Analysis? vs. 52.2%).

E-9-1-1 93
article thumbnail

ED care of refugee populations from sub-Saharan Africa

EMDocs

ED Evaluation Transport to the ED from the refugee reception center takes 1 hour. Labs Laboratory workup in the ED is notable for a leukocytosis of 41,000/L, hemoglobin of 6.5 g/dL, thrombocytopenia of 96 10 9 /L, prothrombin time (PT) of 16.1 1 By the end of 2023, 117.3 of the global population.

ED 74
article thumbnail

emDOCs Podcast – Episode 123: Sympathetic Crashing Acute Pulmonary Edema

EMDocs

SCAPE defining features: 1) rapid onset of respiratory distress (<4-6 hours); 2) pulmonary edema with severe dyspnea; 3) abdominal vital signs with SBP > 160 and/or > 120, hypoxic, tachypneic, tachycardic; 4) critically ill, evidence of pulmonary edema. Lower intubation, need for BPAP and ICU admission in bolus group (Levy 2007).

E-9-1-1 89
article thumbnail

EM@3AM: Thyrotoxic Periodic Paralysis

EMDocs

He had a similar episode three months prior which resolved quickly during his ED visit. 1 Hypokalemic paralysis can further be divided into primary and secondary causes: Primary cause: genetic calcium channelopathy. 5 Epidemiology: Hypokalemic Paralysis: 1 Prevalence: 1 in 100,000 individuals worldwide.

E-9-1-1 76