Knowledge Bomb

Knowledge Bomb! Corticosteroids for Allergic Reaction

We continue on with the series with Knowledge Bomb #11. The purpose and motivation for this series is outlined in the first entry and extensively in an ALiEM IDEA series blog entry.  This knowledge bomb discusses the use of corticosteroids for allergic reaction. Background: Corticosteroids are routinely given for both allergic reactions and anaphylaxis. In theory,

Knowledge Bomb

Knowledge Bomb! CT without LP for Subarachnoid Hemorrhage

We continue on with the series with Knowledge Bomb #10. The purpose and motivation for this series is outlined in the first entry. This entry we discuss the use of a CT only approach for patients with symptoms concerning for subarachnoid hemorrhage. Background Differentiating benign, though uncomfortable, headaches from those that may represent more dangerous pathologies

Knowledge Bomb

Knowledge Bomb! Elevate Head of Bed for Intubation

We continue on with the series with Knowledge Bomb #9. The purpose and motivation for this series is outlined in the first entry. This entry we discuss a different technique for intubation of patients. Background Intubation is a popular topic in emergency medicine and everyone has an opinion on the best technique. Video laryngoscopy only? First

EM/IM Sessions

Grand Rounds – Do No Harm and Significance/Fragility Index

Thank-you for attending my Grand Rounds.  Below are resources that I used for my discussions. Click each header to open up the bibliography and other resources I have found helpful.  Please post any questions or comments you have in the comment box below.

Knowledge Bomb

Knowledge Bomb! Another Look At Apneic Oxygenation

We continue on with the series with Knowledge Bomb #8. The purpose and motivation for this series is outlined in the first entry. This entry we return to Apneic Oxygenation and its use during intubation. Thanks to Dr. Albert Vien, PGY3, and Dr. Randy Hebert for their work on this entry. Background “Sats are dropping..

Knowledge Bomb

Knowledge Bomb! Disposition of the Patient in Atrial Fibrillation – AFTER Trial

We continue on with the series with Knowledge Bomb #7. The purpose and motivation for this series is outlined in the first entry. As a reminder, the blog entry is a summary of the conference presentation meant to serve as a reference for #FOAMED and allow for discussion. Thanks to Dr. Chad Shirk, PGY2, for his

Knowledge Bomb

Knowledge Bomb! Is Diphenhydramine Necessary in Acute Migraine Cocktail?

Welcome Back for Round 6 of the Knowledge Bomb.  The purpose and motivation for this series is outlined in the first entry.  As a reminder, the blog entry is a summary of the conference presentation meant to serve as a reference for #FOAMED and allow for discussion. Thanks to Dr. Chris Tanner for his work producing the

Knowledge BombSoundwave Sessions

Knowledge Bomb! Ultrasound to Confirm Central Venous Catheter Placement

Welcome back for round 5 of the Knowledge Bomb.  The purpose and motivation for this series is outlined in the first entry.  As a reminder, the blog entry is a summary of the conference presentation meant to serve as a reference for #FOAMED and allow for discussion. Thanks to Dr. Dan Eggemen for his work producing

Knowledge Bomb

Knowledge Bomb! Ketamine Versus Morphine For Analgesia

Background/Motivation A healthy 38yo male presents with anterior left shoulder dislocation. No known history of opioid use, pain scale 8/10 and he appeared uncomfortable. When discussing pain management, the Attending suggests we begin with morphine and use ketamine as an adjunct. I wondered why not just start with ketamine first as it has been known

EM/IM Sessions

Journal Club – Treating Fever in the ICU – HEAT Trial Discussion

Interest Nurses, families, and consultants often request that we treat our patients’ fevers. We often reflexively answer, “Yeah, sure, give ’em a gram of acetaminophen, why not.” Occasionally we might take the high road, instead replying “Why would I blunt the body’s response to infection, let it fight!” Is there a benefit to calming the inflammatory response