article thumbnail

SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain?

The Skeptics' Guide to EM

His allergies to acetaminophen, non-steroidal anti-inflammatories (NSAIDs), and opioids limit your pain management options. A bedside sonogram shows no significant hydronephrosis. You’re considering ketamine for pain relief but wonder if you should choose IV sub-dissociative ketamine or nebulized ketamine? mg/kg nebulized or 0.3 mg/kg intravenously?

OR 194
article thumbnail

Non-Compete and “Stay or Pay” Agreements

American Ambulance Association

This content is for AAA members only. Please either Log In or Join! The post Non-Compete and “Stay or Pay” Agreements appeared first on American Ambulance Association.

OR 130
professionals

Sign Up for our Newsletter

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

article thumbnail

2g or 1+1g TXA in traumatic brain injury?

St. Emlyn's

This review critically examines the methodology, results, and potential implications for emergency medicine practice, especially regarding the prehospital administration of TXA for TBI patients. Key insights for trauma care providers included. The post 2g or 1+1g TXA in traumatic brain injury? appeared first on St.Emlyn's.

OR 105
article thumbnail

Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)

Dr. Smith's ECG Blog

A prehospital EKG was also available for Patient 2 : This EKG looks like the South Africa Flag Sign, indicating high lateral OMI. V3 has a J wave that becomes more prominent as the S wave becomes smaller, however. This is not consistent with TQRSD which cannot have an S wave or a J wave in V2 and/or V3. The patient had none of these conditions.

OR 101
article thumbnail

Non-invasive or arterial pressure monitoring in PHEM?

St. Emlyn's

Using a retrospective cohort design, the study found that NIBP measurements are often inaccurate in patients with haemodynamic instability, particularly in hypotensive and hypertensive states. The findings suggest that direct arterial pressure monitoring should be considered for critically ill patients in PHEM. appeared first on St.Emlyn's.

OR 110
article thumbnail

ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass?

ALiEM

The amount of hydrogen cyanide in each kernel varies and ranges from 540 to 2,000 mg/kg [2]. The lethal dose range reported for cyanide in humans is 0.56-1.5 Grinding or chewing the kernel increases toxicity [4]. The ingestion of approximately 20-30 apricot kernels in adults, and fewer in children, may lead to severe toxicity [2, 3, 5].

OR 169
article thumbnail

JC: AP or AL pad position for first choice shock in VF?

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Should we use AP or AL pad position first for defibrillation in VF/VT cardiac arrest. Critical appraisal of an observational study in JAMA suggests a better outcome with AP, but there are many biases in this study. FOAMed @stemlyns The post JC: AP or AL pad position for first choice shock in VF?

ALS 92