Today’s pearl is about how much sodium is contained in each dose of the commonly used antibiotics in the emergency department.
Many of the antibiotics we use on a daily basis in the emergency department contain a surprisingly high sodium load that may be clinically significant for some patients.Continue reading “Sodium Content of ED Antibiotics”
Today’s pearl is about an alternative diltiazem dosing method.
Weight-based diltiazem doses may be too high for some patients and fixed doses may offer similar efficacy with decreased risk of hypotension.Continue reading “IV Diltiazem Dosing in Atrial Fibrillation”
Today’s pearl is about the unpredictable and potentially dangerous risks with tramadol.
Tramadol has a reputation for being a safe, non-opioid alternative to opioids. Nothing could be further from the truth.Continue reading “Be Cautious with Tramadol”
Today’s pearl is about an alternative to sodium bicarbonate for tricyclic antidepressant poisoning.
Sodium bicarbonate has been on and off shortage for the past few years.Continue reading “Alternative to Sodium Bicarbonate for TCA Poisoning”
Today’s pearl is about management of calcium channel blocker poisoning .
Glucagon was an option in the past, but is no longer recommended due to lack of supporting data and risk of adverse effects.Continue reading “Glucagon is Out for Calcium Channel Blocker Overdose”
Today’s pearls are about dosing alteplase in cardiac arrest cases.
This can be a tough question in the middle of a critical resuscitation.
Today’s pearls are about preventing hypoglycemia when using insulin to treat hyperkalemia.
The “right” insulin dose is unknown.
The year 2005 was full of milestones, YouTube was founded in February and it was also the last time lidocaine was included in the American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Adult Cardiac Arrest Algorithm.1 Since 2010, we have been directed by the guidelines to utilize amiodarone as the sole first-line antidysrhythmic.2 At the same time, there has been an increased focus on early defibrillation and proper CPR technique as opposed to medication administration. In 2015, the International Liaison Committee on Resuscitation (ILCOR) moved away from publishing guideline updates every 5 years to a continuous process wherein they provide updates as the literature dictates.3Continue reading “2018 AHA Focused Update”