There are some things that we seem to do reflexively in the ED. Giving steroids to a patient with an asthma exacerbation is one of those things. Ask yourself the following question. Why do we do this? What is the evidence behind it? Can you [...]
Once in a while you'll see a child with a chronic cough. Even in the absence of a compelling history - and let's face it, the history cupboard is often bare - it is important to consider the possibility of an inhaled foreign body. Thinking [...]
High Flow, High Flow, it's off to work we go. Let's give some CPAP and… stop singing. OK, anyway, as a follow up to yesterday's article on standard oxygen therapy I wanted to dive into High Flow. It entails the delivery of heated and humidified [...]
As a prelude to a more detailed post on high flow (coming tomorrow) I thought that it would be a good idea to brush up on standard oxygen delivery devices and techniques - you know, the ones we use every day. Blow-by Temporary O2 delivery [...]
Ever wonder why we give nebulized albuterol in the ED instead of a metered dose inhaler? Haven't you heard form a colleague that "4 to 6 puffs is equivalent to a neb." Perhaps some of this is convention, but there is evidence behind it. In [...]