Author Archives: vishal demla

Transfusion Strategies for Acute Upper Gastrointestinal Bleeding

Summarized by Trevor Pour MD Transfusion Strategies for Acute Upper Gastrointestinal Bleeding, N Engl J Med. 2013 Jan 3;368(1):11-21 Background Upper GI bleed is a common emergency condition with wide ranging severity. There is some controversy regarding hemoglobin transfusion thresholds … Continue reading

Posted in 1Intermediate, GI, NEJM, pediatrics | Leave a comment

Ultrasound Podcast with Mike and Matt on Small Bowel Obstruction

By Elizabeth Dei Rossi, MD Please refer to The Ultrasound Podcast Different modalities can be used for diagnosing SBO CT scan is considered gold standard sensitivity of 92% and a specificity of 93% Mallo RD et al. CT diagnosis of … Continue reading

Posted in 1Advanced, GI, Ultrasound | Leave a comment

Bleeding Patients on Dabigatran aka Pradaxa

By Dr. Ling Zang, MD Please refer to Indication: stroke prevention in atrial fibrillation Mechanism of action: reversible, competitive, direct thrombin inhibitor (downstream from other anticoagulants) Pharmacokinetics: Half time: 13 hours in patients with normal renal function (Cr clearance > … Continue reading

Posted in 1Intermediate, hematology | Leave a comment

Critical Care Palliation with Ashley Shreves

By Gene Schiappa, MD Please refer to EMCrit As terminal disease course progresses: Disease driven care: decrease Palliative care : increase   Overall care required may increase. Patients and family require additional assistance and services.   3 areas of improvement … Continue reading

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Severe Accidental Hypothermia

By Taylor Moran-Gates, MD Please refer to EMCrit 1. >32c: -Treatment is simple: Passive rewarming, warm blankets. -Evaluate other causes: hypoglycemia, etoh, myxedema, Addison’s, sepsis. -Labs: cbc, chemistry, tfts, cortisol, cultures. -Bradycardia: sinus bradycardia is expected, and does not require … Continue reading

Posted in 1Advanced, EMCRIT, Environmental, Hypothermia, Resuscitation | Leave a comment

Validation of San Francisco Syncope Rule

Summarized By Raviraj Patel, MD Source: Quinn J, McDermott D, Stiell I “Prospective Validation of the San Francisco Syncope rule to Predict Patients With Serious Outcomes.” Annals of Emergency Medicine, Vol 47, No. 5: May 2006 Intro Syncope accounts for … Continue reading

Posted in 1Intermediate, Annals, Cardiology | Leave a comment

Erasing Death

By Sabrina Schmitz, MD “Erasing Death” Explores the Science of Resuscitation (NPR—Feb 20, 2013) SUMMARY:   This is an NPR interview of Dr. Sam Parnia, Director of Resuscitation Medicine at Stony Brook, in which he discusses ideas presented in his … Continue reading

Posted in 1Advanced, 1Beginner, 1Intermediate, Critical Care, Resuscitation | Leave a comment

TCA Overdose

By Christie Lech, MD Please refer to EMRAP Classically, you see a wide QRS complex and a tall R wave in aVr (elevation in the terminal 40 msec of aVr) Treatment of your sick, dying TCA overdose patient – lots … Continue reading

Posted in 1Intermediate, Cardiology, EMRAP, Toxicology | Leave a comment

Pseudoseizures AKA PNES

By Christie Lech, MD Please refer to EMRAP PNES – psychogenic nonepileptic seizures Pseudoseizure – non-epileptic seizure PNES is characterized by neurological disturbances i.e. motor, sensory, autonomic, cognitive, emotional that may mimic epilepsy, but there is no CNS dysfunction Incidence … Continue reading

Posted in 1Beginner, EMRAP, neuro, psych | Leave a comment

Pediatric Fever

By Jeremy Faust, MD ERcast with Dr. Rob Orman and guest PEM specialist Dr. Andrew Sloas Pediatric Fever Part 2. Link: Question: Does height of fever increase risk that you’re dealing with Serious Bacterial Infection? Answer: Old studies (poorly controlled, … Continue reading

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