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Let’s face it. You’ve heard about the A-a gradient. And free water deficit. And even the APACHE-II score. But how useful are these in your daily practice? You don’t care...
Graham Walker, MD |
Acute pain management in the ED is challenging. For patients on buprenorphine, it can be even more difficult. What if a patient on buprenorphine presents to the ED with a...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
What’s the first thing that pops into your head when you see an older woman presenting to the ED from a nursing facility with atraumatic altered mental status? If you’re...
Christina Shenvi, MD PhD |
Tramadol is a popular agent for the treatment of pain and offers an alternative to opioid therapy. Tramadol exerts its analgesic effects through weak stimulation of the mu opioid receptor...
Jill Logan, PharmD BCPS |
Vancomycin remains one of our workhorse antimicrobials for treating infections caused by methicillin-resistant S. aureus (MRSA). As the incidence of MRSA infections continues to rise AND we are starting to see...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
The winter holiday season is a busy time in most EDs. Colder weather, respiratory infections, and many factors contribute to this. However Christmas Day and New Year’s Day in particular...
Christina Shenvi, MD PhD |
Carbon monoxide (CO) is an odorless, colorless gas and is one of the most common causes of unintentional poisoning deaths in the United States. It is also one of the...
Dan Repplinger, MD |
A 45 y/o male with moderate persistent asthma presents with wheezing and cough following a viral URI. He is tachypneic and has diffuse wheezing. PEFR is 250 (>50% below his...
Mac Walter, MD |
We sometimes hear information stated as fact that may not be entirely accurate. One such example is, “I’m going to use lorazepam because it isn’t metabolized by the liver.” Let’s set...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
The Case You have a 54-year-old female who presents to the emergency department with a chief complaint of “just feeling out of it.” She has felt “off and on” for...
Nadia Awad, PharmD, BCPS |
Salicylate is among the top 25 substances that cause the greatest number of overdose fatalities in the United States. 1 Patients can present with a wide variety of complaints including...
Kristin Fontes, MD |
An 84-year old woman presents to your ED with a traumatic, left-sided posterior hip dislocation. You need to reduce the hip. But how should you sedate her? Procedural sedation is...
Christina Shenvi, MD PhD |
I love when complex medication questions come across my desk from folks like Drs. Amal Mattu, Rob Orman, Mike Winters, and Haney Mallemat (just to name a few). This week...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
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