Author Archives: IreneP
DKA gone wrong
hypertonic saline versus Mannitol, the unresolved question
Comparison of intravenous paracetamol (acetaminophen) to intravenously or intramuscularly administered non-steroidal anti-inflammatory drugs (NSAIDs) or opioids for patients presenting with moderate to severe acute pain conditions to the ED: systematic review and meta-analysis Isma Qureshi ,1 Khadiga Abdulrashid ,2,3 Stephen H Thomas,1,4 Manar E Abdel-Rahman ,2 Sameer A Pathan,1,4,5 Tim Harris1,4
code stemi
65 year old male, cardiac arrest at home, ambulance team achieved ROSC
His main diagnosis was an inferior stemi complicated by a few issues:
Characteristics Associated With Serious Self-Harm Events in Children and Adolescents Mert Sekmen,a,b Carlos G. Grijalva, MD, MPH,c Yuwei Zhu, MD, MS,d Derek J. Williams, MD, MPH,a,b James A. Feinstein, MD, MPH,e Justine C. Stassun, MA,a,b Jakobi A. Johnson, BS,a,b Yasas C. Tanguturi, MBBS, MPH,f James C. Gay, MD, MMHC,g James W. Antoon, MD, PhD, MPHa,b
Myocardial infarction with non-obstructive coronary arteries: what is the prognosis?
Rocuronium ≤1.5 mg/kg versus >1.5 mg/kg and inadequate paralysis in prehospital and retrieval intubation: A retrospective study Clare Hayes-Bradley MBBS
Rocuronium ≤1.5 mg/kg versus >1.5 mg/kg and inadequate paralysis in prehospital and retrieval intubation: A retrospective study
Clare Hayes-Bradley MBBS, BSc, Madelaine Tarrant MBChB, BSc
First published: 01 June 2022
https://doi.org/10.1111/1742-6723.14008
Findings
High dose Rocuronium leads to lower rates of inadequate relaxation Continue reading
shoulder dystocia sim report
The case:
33 year old primip with shoulder dystocia and subsequent PPH, neonate requiring resuscitation initially by attending pediatrician.
paper of the week
Effect of a Diagnostic Strategy Using an Elevated and Age-Adjusted D-Dimer Threshold on Thromboembolic Events in Emergency Department Patients With Suspected Pulmonary Embolism
JAMA. 2021;326(21):2141-2149. doi:10.1001/jama.2021.20750
Overview
- Combination of PERC, YEARS and age adjusted DDimer has been reviewed regarding the use of advacnced imaging and detection of PE in comparison to the classical pathway (definition below)
Bottom line
- Inclusion of YEARS criteria in workup of VTE patients can be valuable to reduce chest imaging
- This study is not specific for pregnant patients, further clinical trials will be required