This week we discuss the presentation and management of native US snake bites with Dr. Meghan Spyres

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ALiEM: Envenomations: Initial Management of Common US Snakebites

This week we dive into some advanced topics in RSI including patient positioning and pre-intubation resuscitation.

Take Home Points

Bed-Up-Head-Elevated Positioning

Show Notes

EMCrit: Podcast 104 – Laryngosocpe as a Murger Weapon (LAMW) Series – Hemodynamic Kills

Life in the Fastlane: Intubation, hypotension and shock

Core EM: Bed Up Head Elevated Position for Airway Management Video

REBEL EM: Critical Care Updates: Resuscitation Sequence Intubation – Hypotension Kills (Part 1 of 3)

ALiEM: The Dirty Epi Drip: IV Epinephrine When You Need It

emDocs: Roc Rocks and Sux Sucks! Why Rocuronium is the Agent of Choice for RSI

Swaminathan A, Mallemat H. Rocuronium Should Be the Default Paralytic in Rapid Sequence Intubation. Ann Emerg Med 2017. PMID: 28601274

Khandelwal N et al. Head-Elevated Patient Positioning Decreases Complications of Emergent Tracheal Intubation in the Ward and Intensive Care Unit. Anesth Analg 2016; 122(4): 1101-7. PMID: 26866753

This week we discuss some quick pearls from our conference covering an array of renal and GU pathologies.

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Core EM: Testicular Torsion

Core EM: Podcast Episode 92.0 – Dialysis Emergencies

Al Sacchetti: ED Repair of Bleeding Dialysis Shunt

EM: RAP: Episode 107 – Dialysis Emergencies

EMBlog Mayo Clinic: How to Stop a Post-Dialysis Site Bleeding

emDocs: Managing Fistula Complications in the Emergency Department

References

Mellick LB. Torsion of the testicle: It is time to stopping tossing the dice. Pediatric Emer Care 2012; 28: 80-6. PMID: 22217895

Should we intubate patients in cardiac arrest? We discuss this topic and some basics of running a good arrest.

Take Home Points

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Rebel EM: In-hospital Cardiac Arrest – The First 15 Minues

Core EM: Proper Defibrillator Pad Placement + Dual Sequential Defibrillation

REBEL EM: Beyond ACLS: Cognitively Offloading During a Cardiac Arrest

REBEL EM: Beyond ACLS: POCUS in Cardiac Arrest

REBEL EM: Beyond ACLS: CPR, Defibrillation and Epinephrine

REBEL EM: Beyond ACLS: Pre-Charging the Defibrillator

Prompted by the recent CAMEO trial publication on icatibant, we dive into angioedema with a focus on airway management.

Take Home Points

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Core EM: Angioedema

EMCrit: Podcast 145 – Awake Intubation Lecture from SMACC

ERCast: Angioedema

REBEL EM: Icatibant Doesn’t Improve Outcomes in ACE-I Induced Angioedema

The SGEM: Icatibant Bites the Dust – For ACE-I Induced Angioedema

This week we drop into some of the nitty gritty on PSA including preparation and patient assessment as well as discuss some common pitfalls.

Take Home Points

Show Notes

Core EM: Procedural Sedation and Analgesia Resources

EM Updates:Emergency Department Procedural Sedation Checklist v2

REBEL EM: Complications of Procedural Sedation

Bellolio MF et al. Incidence of adverse events in adults undergoing procedural sedation in the emergency department: a systematic review and meta-analysis. Acad Emerg Med 2016; 23: 119-34. PMID: 26801209

This week we dissect a JAMA article on the whether it's necessary to add TMP-SMX to cephalexin in the treatment of uncomplicated cellulitis

SSTI Flow Diagram (Stevens 2014)

EM Lit of Note: Double Coverage, Cellulitis Edition

Pharm ER Tox Guy: Uncomplicated Cellulitis? Consider Strep-Only Coverage

Core EM: Cellulitis

Stevens DL et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. Clin Infect Dis 2014; 59(2): e10-52. PMID: 24973422

This week we dive into the various common agents used in procedural sedation and analgesia in the ED.

Show Notes

Core EM : Parenteral Benzodiazepines

Core EM: Procedural Sedation and Analgesia Resources

EM Updates: Ketamine Brain Continuum

First 10 EM: Managing laryngospasm in the emergency department

This week we talk about priapism focusing on emergency department management.

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Dr. Mutara Jubara: Ultrasound Guided Dorsal Penile Nerve Block

McCollough M, Sharieff GQ: Genitourinary and Renal Tract Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 174: p 2205-2223.

Davis JE, Silverman MA. Urologic Procedures; in Roberts JR: Roberts and Hedges’ Clinical Procedures in Emergency Medicine, ed 6. 2014, (Ch) 55: p 1113-1154

Govier FE et al. Oral terbutaline for the treatment of priapism. J Urol 1994;151: 878-9. PMID: 8126815

Priyadarshi S. Oral terbutaline in the management of pharmacologically induced prolonged erection. Int J Impot Res. 2004;16:424-426. PMID: 14999218

This week we welcome Andy Little onto the show to discuss the modified Valsalva maneuver for breaking SVT.

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Rebel EM: The REVERT Trial – A Modified Valsalva Maneuver to Convert SVT

SGEM: This is a SVT and I’m Gonna Revert It Using a Modified Valsalva Manoeuvre

Appelboam A et al. Postural Modification to the Standard Valsalva Manoeuvre for Emergency Treatment of Supraventricular Tachycardias (REVERT): A Randomised Controlled Trial. Lancet 2015. PMID: 26314489