If you take care of a patient on Zantac (ranitidine) in the ED it is a good idea, regardless of what else is going on right now, to discontinue it and consider another agent.
Always great to see this study make the rounds. This edition of Facts on the Ground, reviews the PRIME study comparing intranasal ketamine with fentanyl in a randomized, non inferiority trial.
This post from Leah Finkel and Amanda Nelson details how we should think about abnormally high blood pressure measurements in the Pediatric Emergency Department - and what to do about them.
In the days of cefotaxime shortages we must seek out alternative antibiotics - Check out this post for recommendations on alternative cephalosporins, especially for the febrile infant.
Serotonin syndrome and Neuroleptic malignant syndrome aren't really the same thing are they? But what if they are? No they're not. Maybe?
Lidocaine hurts when you inject it mostly because it is acidic. Learn how to add 8.4% sodium bicarbonate to buffer lidocaine to make it hurt less.
This post reviews the drugs used in rapid sequence intubation - including pre-medication, sedatives and paralytics.
Take a look at this post to learn more about medical management of the agitated child and adolescent. Both oral and IM options are suggested.
Stress dose steroids are vexing for some reasons. They don't have to be. Initial dosing can be simpler than it seems. Read/watch for more.
Given the increased prevalence of opiate abuse I felt that it was important to discuss some of the nuances of Narcan dosing.