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Starting balanced crystalloid fluid resuscitation vs normal saline early, while still in the ED as opposed to the ICU, appears to have mortality benefit among critically ill patients with sepsis.
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Pulmonary embolism response teams can be a big help is the diagnosis and treatment of acute PE in the COVID-19 era. Here is how.
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This is an ACEP Clinical Policy statement to address four key questions about opioid use in the ED.
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FoCUS (Focused Cardiac Ultrasound) enhanced diagnostic ability for multiple cardiac parameters when performed at the bedside.
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Most pediatric patients undergoing procedural sedation in this single-center ED study had “high risk” gastric content on ultrasound, even when meeting ASA fasting guidelines, with no clinically significant change occurring during serial sonographic evaluations.
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This study confirms that for children with ventricular fibrillation or pulseless ventricular tachycardia (VF/pVT), a defibrillation dose of 2 J/kg was associated with the highest survival to discharge. Doses outside this range had lower survival.
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Most 911 calls used lights and sirens to respond, but just a small percentage received a potential life-saving intervention, which suggests that a more selective approach may be better and possibly safer.
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Supplementation with vitamin D and calcium, in addition to standard canalith repositioning maneuvers, reduced the number of episodes of benign paroxysmal peripheral vertigo (BPPV) per year in adult patients.
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This manuscript provides a detailed review of the diagnosis, management, and treatment of pulmonary embolism.
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For ED patients, the probability of PE was the same in COVID-positive and COVID-negative patients. This does not apply to other hospitalized COVID-19 patient populations.
