An elevated lactate level is associated with increased mortality in sepsis. Explore some of the evidence in this post.
This edition of PEM Currents is all about respiratory distress. You'll learn about initial management, diagnosis and more!
Should we restrict fluids in septic shock? Hogwash you say! Well, it might be the right idea in resource limited settings. Learn what my take on the 2105 AHA PALS summary has to say on the matter.
The 2015 AHA PALS Guidelines have been released - let's take a look at some of the medication related changes, specifically atropine as a pre-intubation med and the choice of amiodarone or lidocaine for shock refractory ventricular fibrillation and pulseless ventricular tachycardia.
The 2015 AHA PALS Guidelines have been released - let's take a look at whether or not the rapid cardiopulmonary assessment should be airway, breathing, circulation or circulation, airway, breathing.
Let's check out another in the top ten articles presented at the recent AAP NCE in San Diego. This study examined the relationship between time to antibiotics and morbidity and mortality in pediatric sepsis. Links PubMed Critical Care Medicine The bottom line Early administration of antibiotics in sepsis [...]
I can't think of a recent shift in which I haven't placed a patient on oxygen. Given that, I wanted to share a brief teaching video on some of the various modalities for oxygen therapy in use in the Pediatric Emergency Department. Enjoy! http://vimeo.com/101403657
CPR can save a life. But, it has to be effective. The recent move to compressions only CPR has simplified matters for the lay provider, but are we actually seeing improved outcomes. Essentially, is asking someone to just "push hard and fast" on the chest [...]
Spoiler alert... There is currently a shortage of intravenous fluids in the US. This knowledge may come in handy if your ED is beset by dehydrated St. Patrick's Day revelers. Specifically supplies are constrained for both normal saline and lactated ringers, plus 5% dextrose solutions. [...]