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Updates in the Management of Refractory Ventricular Tachycardia or Ventricular Fibrillation Arrest

ACEP Now

2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. 5 More recent literature defines “refractory” as VT or VF that is persistent or recurrent despite three shocks from a defibrillator, three rounds of epinephrine, and use of an antiarrhythmic (i.e.,

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The November 2024 Research Roundup

First 10 EM

Back for another month of interesting, arcane, important, or baffling articles. As we enter the winter in the Northern hemisphere, and I have little interest in heading outside, I will probably spend more time reading, so these write ups might get longer for the next few months.

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Ultrasound Guided Lower Extremity Nerve Blocks

Core EM

1 2 3 4 This article will focus on three lower extremity (LE) nerve blocks commonly used for acute lower extremity pain in the ED. Blocks with larger volumes of anesthetic carry higher risk of LAST. Treatment of LAST is supportive care and administration of intralipid Intralipid 20% 1.5 mL/kg over 1 min, then 0.25

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SGEM Xtra: Dogmalysis 2021

The Skeptics' Guide to EM

There is also a link to the original article for people to read the primary literature for themselves. Myth #1: The use of non-selective NSAIDs will cause a nonunion in long bone fractures When bones break, they usually heal with either surgical or non-surgical management. J Bone Joint Surg Am.

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The Broselow-Luten System

Pediatric EM Morsels

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. x length or height (cm)] There is a great review article that lists many other weight estimation formulae.

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SGEM#188: Icatibant Bites the Dust – For ACE-I Induced Angioedema

The Skeptics' Guide to EM

Your resident tells you that they recently read an article in the NEJM that argued for the administration of icatibant to usher along resolution of symptoms in ACE-I induced angioedema and asks whether you should consider this treatment. Though this disorder is routinely treated with medications for anaphylaxis (i.e. Reference: Sinert et al.

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SGEM#253: Everybody’s Working on the Weekend

The Skeptics' Guide to EM

The article was called “A lexicon for gender bias in academia and medicine: Mansplaining is the tip of the iceberg” It was published in the December 2018 edition of the BMJ. It attracts participants from all over Ontario and even the US. This included: misteria, himpediment, hystereotyping, mutehism, and bromoteher.