Month: August 2022

How to Use POCUS for Pulse Checks – Is Manual Palpation Passé?

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Point-of-care ultrasound carotid artery compression was quicker than manual palpation in determining return of spontaneous circulation.

Source
Point-of-care ultrasound compression of the carotid artery for pulse determination in cardiopulmonary resuscitation. Resuscitation. 2022 Jul 2;S0300-9572(22)00590-1. doi: 10.1016/j.resuscitation.2022.06.025. Online ahead of print.

Virtual Reality – Are Adults as Distractible as Kids?

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Distraction as a method of analgesia and anxiolysis for minor ED procedures using a 3D virtual reality display was not better than using a 2D screen.

Source
Analgesic and Anxiolytic Effects of Virtual Reality During Minor Procedures in an Emergency Department: A Randomized Controlled Study. Ann Emerg Med. 2022 May 28:S0196-0644(22)00264-5. doi: 10.1016/j.annemergmed.2022.04.015. Epub ahead of print.

Don’t Forget the Sedation – A Paralytic Nightmare

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The proportion of patients that experience awareness with paralysis is alarmingly high; 3.4% were aware of their surroundings but paralyzed, which 3.4% more than what should occur.

Source
Awareness With Paralysis Among Critically Ill Emergency Department Patients: A Prospective Cohort Study. Crit Care Med. 2022 Jul 22. doi: 10.1097/CCM.0000000000005626. Online ahead of print.

Does this DRESS Make Me Look… How to Diagnose and Manage DRESS

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This article reviews the literature regarding drug reaction with eosinophilia and systemic symptoms (DRESS) and focuses on the EM and critical care physician’s perspective, summarizing the presentation, clinical features, and management.

Source
Drug reaction with eosinophilia and systemic symptoms: An emergency medicine focused review. Am J Emerg Med. 2022 Jun;56:1-6. doi: 10.1016/j.ajem.2022.03.024. Epub 2022 Mar 18.

Upright Face-to-Face versus Supine Intubation – Which Is Better?

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Upright face-to-face intubation had minimal difference in time to intubation or laryngeal views obtained when compared to supine intubation on cadavers, but there were some limitations with this study and further investigation into this technique and its application are needed.

Source
Comparison of supine and upright face-to-face cadaver intubation. Am J Emerg Med. 2022 Jun;56:87-91. doi: 10.1016/j.ajem.2022.03.029. Epub 2022 Mar 18.

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