Tactical Medicine News Blog
Beyond ACLS: Is It Time to Abandon Epinephrine in Out-Of-Hospital Cardiac Arrest?
Posted by Marco Torres on
Epinephrine is widely used and recommended by Advanced Cardiovascular Life Support (ACLS) in out-of-hospital cardiac arrest (OHCA), but its effectiveness in neurologic outcomes has never been truly established. To verify effectiveness of epinephrine confounders, such as patients, CPR quality, CPR by bystanders, time from call to arrival at scene or hospital, and much much more, must be controlled for in a trial. This type of study is not easily performed due to ACLS being the current standard of care.
PV Card: Focused Deep Vein Thrombosis (DVT) Ultrasound
Posted by Scott Kobner on
Deep vein thrombosis (DVT) is always a consideration when patients with asymmetric lower extremity swelling. Why is one leg. Two-point focused DVT ultrasonography of the femoral and popliteal veins can be incredibly useful in the Emergency Department when trying to narrow the differential diagnosis. Drs. Margaret Greenwood-Ericksen, Joshua Rempell, and Mike Stone provide a clear, image-based clinical reference tool on this ultrasound technique.
REBEL Cast Episode 6: Oseltamivir in the Treatment of Influenza & Use of the HEART Score in Low Risk Chest Pain
Posted by Marco Torres on
Welcome to the March 2015 REBEL Cast, where Swami, Matt, and I are going to tackle a couple of topics that come up frequently in clinical practice in the emergency department. Today we are going to specifically tackle: Topic #1: Oseltamivir (Tamiflu) in the Treatment of Influenza Topic #2: Use of the HEART Score in Low Risk Chest Pain Patients
Diagnose on Sight: Lower extremity numbness and pain
Posted by Jeff Riddell, MD on
Case: An 18 year old male presents after a single gunshot wound to his left calf. He complains of pressure-like pain near the wound and sensory numbness below his left knee. On examination, the left leg is tense. He has no dorsalis pedis pulse. Based on the history, exam, and findings in the image, which of the following is true regarding this diagnosis?
I am Dr. Jesse Pines, Professor of Emergency Medicine and Health Policy at George Washington University: How I Work Smarter
Posted by Benjamin Azan, MD on
This week’s guest on the How I Work Smarter series is a master of efficiency and quality in the Emergency Department. Dr. Jesse Pines (@DrJessePines) is the principal investigator of UrgentMatters.org, a group dedicated to improving emergency care and hospital patient flow. He has the ear of the Center for Medicare and Medicaid Services Innovation Center and the National Quality Forum where, via policy, he’s helping to shape the future landscape of emergency care in the USA. While he has academically published extensively on health policy and workflow, he also takes the time to educate the public at large on the pressing matters in public health and emergency medicine via contributions to Time.com, Slate.com, The Wall Street Journal, and more. Dr. Pines shares his words of wisdom on how he works smarter.