EMOttawa

JANUARY 9, 2025

In the acute care setting, steroids have various usages and indications, but their usage can often be nuanced. From adrenal crises to septic shock, severe community-acquired pneumonia, and even acute pharyngitis, steroids play a pivotal role in managing a variety of conditions encountered in the Emergency Department (ED). However, their use is far from straightforwardbalancing […] The post These are the ‘Roids you are looking for – Steroids in the ED appeared first on EMOttawa

ED 114

ED Emergency Department Critical Care 114

SSCOR

JANUARY 9, 2025

Training is an essential part of your job. With the demands of your work schedule, spending time with your family, and your daily obligations, you may find yourself struggling to find the motivation to put in extra time for training. But even the most skilled practitioners need to trainand train oftento best serve their patients when airway emergencies occur.

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81

Life in the Fastlane

JANUARY 9, 2025

Robert Buttner, Stephen W. Smith and Hana Hybasek Dzurikova Activate or Wait – 010 38-year-old male with left arm pain, shortness of breath, and dizziness. BP 105/60. We are five minutes from your tertiary centre.

OR 52

OR STEMI 52

Dr. Smith's ECG Blog

JANUARY 9, 2025

A 26 year old male presented with syncope and chest pain. Syncope was sudden and without prodrome, and resulted in head trauma with a scalp laceration. Here is his ECG: There is significant ST Elevation in inferior leads, with reciprocal ST depression in aVL. This appears to be an inferior OMI What do you think? Smith : I recognize this as a STEMI mimic.

ED 107

ED STEMI OR 107

EM Literature of Note

JANUARY 9, 2025

This is yet another one of those “Get With The Guidelines” stroke analyses, a retrospective dredge with massive imbalances between groups followed by statistical adjustments capable of turning out whichever result suits an author list with a full, dense printed page of pharma and stroke technology conflicts of interest. In that respect, the study is unremarkable.

EMS 86

EMS 86

The Bottom Line

JANUARY 9, 2025

Acetaminophen for Prevention and Treatment of Organ Dysfunction in Critically Ill Patients With Sepsis Ware. JAMA 2024. doi:10.1001/jama.2024.8772 Clinical Question In critically ill adult patients with sepsis does the administration of acetaminophen compared to placebo increase the number of days alive and free of organ support to day 28?

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The Curious Clinicians

JANUARY 9, 2025

Why don’t we administer insulin orally? In inpatient medicine, a phrase one often hears is “transition to PO.” Medications that start out as injections or infusions antibiotics, steroids, anticoagulants are switched to an oral equivalent as soon as possible. There’s one drug, though, which we never talk about taking in pill form.

ACS 52

ACS OR ALS 52