Accidental hypothermia is a life threatening condition that can lead to a challenging resuscitation. The very young, old, and intoxicated patient are at high risk to developing hypothermia, even in temperate climates. The pathophysiologic changes from hypothermia make the standard ACLS approach insufficient to care for the hypothermic patient. This article will discuss the physiology of hypothermia and how you should alter your approach in the hypothermic patient, including early consideration of extracorporeal membrane oxygenation (ECMO).
The literature review has been published online through The Journal of Emergency Medicine. According to Dr. Pourmand, "Studies reporting the prevalence of Pulmonary Embolism (PE) during Acute Exacerbation Of Chronic Obstructive Pulmonary Disease (AE-COPD) vary considerably in their methods and results. Because of the relatively high prevalence of PE during AE-COPD, it is important for providers to be aware of this linkage between the two conditions." Hannah Robinson, a co-author, is currently a student at George Washington.
A recent multi-center clinical trial funded by the National Institute for Diabetes and Digestive and Kidney Diseases, revealed no significant support for the use of tamsulosin for kidney stones. The results, published in JAMA Internal Medicine, found no significant effect of patient-reported passage or capture of the stone.
Drones in Telemedicine, PoC Ultrasound in Detecting SBOs, and a chohort trail for single-handed US-guided vascular access.
Looking at an Outpatient Pathway for Atrial Fibrillation in the Emergency Department Setting in Academic Emergency Medicine and Prescription Drug Monitoring Programs in the Emergency Department in Western Journal of Emergency Medicine.
This post tackles "Complications & Discharge Care Plans;" outlining potential complications of splinting, key points to include in patient discharge instructions, and some of the pharmacological adjuncts to aid in recovery.