Tactical Medicine News Blog

There is significant practice variability when providers are asked to determine if a patient is intoxicated. Some providers will evaluate a patient to determine if a patient is “clinically sober”, while other providers will rely on a patient’s blood alcohol concentration (BAC) to evaluate a patient’s level of intoxication.  There is very little data to suggest that either approach is superior; however, both practice patterns have significant limitations and carry a certain degree of medicolegal risk. 

Don’t know when to use ketofol for procedure sedation or if you can rapidly load phenytoin? See the new PV-Plus Cards on AgileMD for free on any smartphone/tablet/desktop. Other topics include: Thrombolytics for submassive PE Vasopressor agents for the hypotensive patients Tramadol t-PA for codes Searchable Emergency Drug Card with dosages for Adults and Pediatrics UPDATE Jan [+] The post Did you know that there are new Tox/Meds PV Cards? appeared first on ALiEM.

Recently, I have been asked if there are any studies that have been performed over the past few years that should shape the way emergency medicine physicians should practice and can greatly improve patient care. So I asked some of my friends and colleagues if there are any studies that stick out in their minds. Below is a list of four game changers in emergency medicine that others felt were of importance.

It seems like a simple enough question: How do you diagnose and treat uncomplicated UTIs in older adults? The answer is: It depends. Part 1 of this post will discuss diagnosis of UTIs in this population, and part 2 will address treatment.

As educational content, which was traditionally published in the form of textbooks, get repurposed into blog posts, podcasts, and videos, iBooks have been a bit slower to take hold. They can replace print textbooks, if done from a thoughtful design-based approach such as by Drs. Matthew Dawson and Mike Mallin in their Introduction to EM Ultrasound (volume 1 and 2) iBooks. Here’s another iBook entitled “EM Clinical Decision Rules” involving pulmonary embolism (PE) and minor head trauma by Drs. Shannon McNamara, Christine Knettel, and David Wald.