Today’s pearl is an update on the use of ondansetron in pregnant patients.
What to do when first line agents aren’t effective?Continue reading “IV Ondansetron in the First Trimester of Pregnancy”
Today’s pearl describes potential treatment options for patients that develop an intracranial hemorrhage following the administration of IV alteplase (tPA).
A difficult situation with no great options.Continue reading “Management of Bleeding Complications after IV Alteplase”
Today’s pearl focuses on how fast we should expect intramuscular (IM) medications to start working in a patient with severe agitation.
When soon is not soon enough.Continue reading “Onset of IM Medications for Severe Agitation”
Today’s pearl is about treating patient in refractory toxin-induced cardiogenic shock with venoarterial-extracorporeal membrane oxygenation (VA-ECMO).
Is ECMO an effective treatment?Continue reading “ECMO for Poisoned Patients”
Today’s pearl is why it is important to obtain blood cultures prior to antibiotic administration whenever possible.
The difference a few minutes can make.Continue reading “Blood Cultures Before Antibiotics Matter”
Today’s pearl is why I think fluoroquinolones should be relegated to second or third-line therapy for most infections.
And should be renamed “fluoroquino-leave-them-alones”Continue reading “Black Box Drugs We Use – Fluoroquinolones”
Over the past year, a group of physicians and pharmacists with expertise in emergency medicine, toxicology, and addiction medicine developed a white paper for the American Academy of Emergency Medicine (AAEM) on Management of Opioid Use Disorder in the Emergency Department. It is our attempt to share current best practices and provide comprehensive evidence-based recommendations for providers in acute care settings managing patients being harmed-or at risk to be harmed-by opioids.
The guideline is set up as 48 discrete, commonly-encountered questions with extensively-referenced, high-yield answers answer based on available evidence and expert consensus within our group.