Monthly Archives: January 2013

Lessons from the STOP Sepsis Collaborative

By Avital Porat, MD Please refer to EMCrit Take home lessons after ~ 10,000 patients enrolled in STOP Sepsis Collaborative   Recognition/Screening- Let nurse’s handle this. They are doing a good job. Modified version of SIRS criteria screened at triage … Continue reading

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Oxygen Physiology with Daniel Davis

By Avital Porat, MD Please refer to EMCrit Daniel Davis from UCSD with extensive work in resuscitation (specifically airway and oxygenation) Pulse Oximetry Lag (or latency) When a pulse ox probe is placed on a digit there is a predictable … Continue reading

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Severe Trauma with Karim Brohi

By George Lim, MD Please refer to EMCrit PERMISSIVE HYPOTENSION -       For Dr. Brohi, permissive hypotension is more of a mindset more so than goal BP’s If he had to give number, SBP < 60 or 70 then provide crystalloid/blood … Continue reading

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Transfusion Strategies in Acute Upper GI Bleed by Villanueva, et al.

Summarized By Kei Ko, MD Refer to NEJM January 3, 2013 Background Prospective randomized controlled trial comparing restrictive vs. liberal transfusion strategy. This study was performed since the authors stated no previous studies looked specifically at GI bleeds and transfusion … Continue reading

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Nonpregnant Vaginal Bleeding

By Makini Chisolm-Straker, MD Please refer to FreeEmergencyTalks Goals: assess stability, temporize bleeding, assure timely GYN f/up Normal bleeding: average period bleeding is 4days; 30ml blood + uterine debris = 70ml menstrual fluid Abnl bleeding: >7days bleeding; >80ml bleed loss … Continue reading

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Dangerous Pediatric Fevers

By Christie Lech, MD Refer to EMRAP Herpes Simplex Virus Infection Infection in neonates is usually HSV-2, but also can be HSV-1 and can present with fever, seizures, and possibly cutaneous manifestations (i.e. vesicles). The mortality is high, and there … Continue reading

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The Crashing Neonate

By Christie Lech, MD Refer to EMRAP Unbundle babies. Get a good blood pressure. Neonates will not present with meningismus with meningitis Get a line! Think IO. Or a scalp vein. Get the neonates weight. Hct are high when babies … Continue reading

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