@JamesJae5@pulmtoilet@emily_fri This is the answer. Before we go back to checking CRP/pre-albumin ratios, let's remember we already did these studies. Hypoalbuminemia is associated with poor outcomes but is non specific in its etiology.
@PulmCrit Definitely agree that amnestic effects of midazolam are generally sufficient for cardioversion. Never made a lot of sense to give an opioid as well given the risks.
That said I like 0.15mg/kg etomidate; more reliably accomplishes the desired effect and wears off very quickly.
Interested in becoming a true #emergencymedicine airway master? Come get some practice with the awake fiberoptic intubation clinics at #AAEM24!
We have two sessions this year with expert #criticalcare faculty! 4/30 at 2:45pm CDT and 5/1 at 9:00am CDT. @aaeminfo
The seven sins of ED glucose management (from a lecture I gave to the EM residents @AlbanyMed). How many of these are you guilty of?!?!
(Me, at various stages of training: ✋✋✋✋✋✋✋)
#emergencymedicine#criticalcare#MedEd@AMCResus
Had a wonderful wheezy Wednesday giving the @albanymed EM residents a talk on acute asthma emergencies! We covered avoiding misdiagnosis...
...to what is 1st & 2nd line treatment....
...and even what to do with the ventilator!
#emergencymedicine#criticalcare#MedEd@amcresus
@emily_fri@nksefa Fair point. I'm curious, did all the ports draw back blood? Was agitated saline seen in the RV after injecting the distal port?
I've definitely seen very badly placed CVCs that would have caused issues if we used them, but testing the line saved the day everytime.
Clearly the CVC is superior in septic shock!
https://t.co/Y2nTF1DXFf
When was the last time a CVC extravasated? How about a PIV or midline? (Me: never & yesterday)
They're easier for nurses to prevent incompatibilities.
PIV and midline BSI are real!
#emergencymedicine@nksefa
3-way Clinical Controversies @AnnalsofEM:
What vascular access do you use to manage septic shock in the ED?
CVCs can't be supplanted: https://t.co/o1Iizgg0qW
Midlines are optimal:
https://t.co/7aCc4Gq5V0
Peripheral IVs are preferable: https://t.co/qO2co3uqco