“The heart was made to be broken.” ― Oscar Wilde Blunt thoracic trauma accounts for 25% of all traumatic fatalities. Blunt Cardiac Injury (BCI) has been quoted to be present in up to 76% of blunt thoracic trauma patients. BCI…
Blunt Cardiac Injury
Rectal Resuscitation
We have had some cutting edge articles in the past but none have been so stimulating as the one that was presented by Nathan Reisman this month. If you are out in the wilderness and you come across a person…
Save of the Month! December 2013
Welcome to Save of the Month! where each month we recognize a resident who went above and beyond to make a great save in the ED. Nominations are solicited from the faculty each block and we pick one resident for recognition…
Another “worst headache of my life”?
In the evaluation of SAH in the ED, does everyone with a negative head CT require subsequent LP? On 1/29/14!, we’ll review Perry’s study in BMJ on CT performed within 6 hours of headache onset. Practice-changing? Peruse and decide. Enjoy!…
Levophed-openia
The debate on the treatment of circulatory shock is over(-ish?). Ever since the NEJM put out its big RCT on the treatment of all-comer shock[i], we know that norepinephrine is the vasopressor of choice. Septic, cardiogenic….doesn’t matter. Norepinephrine is superior…
Pit Viper Envenomations
We did not had a good article to post to the WM blog this month. However, I realized that I never posted Andrew Koping’s article on Pit Vipers from a little while back. So, here that one is: Pitviper Coagulopathy…