the 5 minutes huddle*
In soccer, a hat trick happens when one player scores three goals in a single game. Now, if we switch gears to the world of clinical sepsis therapy, HAT is like a dream team of intravenous treatments: hydrocortisone at 50 mg every 6 hours, ascorbic acid (vitamin C) at a whopping 1500 mg every 6... Continue Reading →
Case study: Mr. J. is a 76 year old gentleman who came in with left sided weakness associated with dizziness and visual changes. He was recently started on an anti-amyloid therapies Lecanemab a few weeks back to help slow down his Alzheimer's disease progression. He is AO x 3 at baseline. He is currently a... Continue Reading →
Rapid response call: 05:20 am, A rapid response was called towards the end of the shift for a 56-year-old patient in the tele department for an acute desaturation event. He had a significant PMHX of colon cancer, DM 2 and COPD. The primary RN noted that the patient was on room air prior to NGT... Continue Reading →
A simple and easy way to remember your anti-arrhythmic agents. Mnemonics: Some Block Potassium Channels. Vaughn-Williams Classification | Class I: Sodium Channel Blockers. Class II: Beta-Blockers. Class III: Potassium Channel Blockers. Class IV: Calcium Channel Blockers. Class I Class Ia: Causes moderate degree blockage of fast sodium channels. Drugs include quinidine, procainamide, and disopyramide. Causes... Continue Reading →
Administration of sedative followed rapidly by a paralytic. RSI was created as a response to the deleterious effects of aspiration. The technique was to decrease the amount of time that a patient’s airway was unprotected during induction. Pretreatment Agents Fentanyl: 2-10 mcg/kg; Reduces sympathetic responses, useful for patients with head injuries or myocardial ischemia. Lidocaine: Can decrease... Continue Reading →
Paroxysmal Sympathetic Hyperactivity after acquired brain injury; overstimulation secondary to TBI Treatment strategies target the inhibition of central sympathetic output, afferent sensory input, and effector organ responses to sympathetic stimulation. adrenergic agonists | Dexmedetomidine, clonidine; used to control central and peripheral adrenergic activities non selective b-blockers | Propranolol is a lipophilic, central inhibition of catecholamine... Continue Reading →
Hey guys. Have you had your coffee? How's the migraine? We have had a day with a back to back inderal overdose case in the emergency department. This is a quick 5 minute overview of Inderal treatment and management. Overview: most commonly prescribed drugs for the treatment of various cardiac disorders, hyperthyroidism, migraine, glaucoma, and... Continue Reading →
Catecholamine Dopamine exerts its effects on both dopaminergic and adrenergic receptors. The meta-analysis from the Surviving Sepsis Campaign guidelines 2015 did not endorse the use of dopamine due to its association with increased mortality and arrhythmias when compared to norepinephrine. However, it may be considered as an alternative to norepinephrine in patients deemed to have... Continue Reading →
Background: At 19:25 just after the ED huddle my partner and I get a consult call from the emergency department regarding a 56 YO female who came in for SOB 15L 02 via NRM by ambulance. She has audible expiratory wheezing and has coarse crackles upon auscultation. She is a frequent to the emergency department... Continue Reading →
Case report: Hi guys, we had a patient come in with a massive head bleed. Intubated prior to CT. Neurosurgery came by to assess the patient after 40 min of (RSI) intubation. MD wanted to reverse Rocuronium with Sugammadex to do a full neurologic assessment for possible neurosurgical intervention. What is Sugammadex SUGAMMADEX (soo GAM... Continue Reading →
Code Team Pearls 