Corpsey

Mel explores the wonderful world of age and pre-test probability cutoffs for D Dimer and a BIG thought by Dr. Jeffery Kline.

See: CorePendium: Venous Thromboembolism Chapter and a recent NEJM paper to be reviewed on march EMA.

Allpart of EMRAP.org

Sara Crager, MD takes us through a really unique way to reduce pulmonary vascular resistance in a patient with massive PE. See the full lecture here. All are of EM:RAP

Studies:
https://www.ncbi.nlm.nih.gov/pubmed/27470232
http://www.roaic.eg.net/article.asp?issn=2356-9115;year=2017;volume=4;issue=1;spage=35;epage=39;aulast=Fikry

New paper published in the NEJM on second line agents for Status Epilepticus. Mel does a quick review and notes it has already been added to the Seizures in Adults chapter of CorePendium. All part of EM:RAP 

A reader quested if you ALWAYS should descend a patient with HAPE. Our author responds. based on the Altitude Illness chapter of CorePendium at EM:RAP.org

We review CorePendium's current recommendations for "Boxer's Fracture" and let you know of an editor update we are going to make. Based on CorePendium "Hand, Foot and Amputation Injuries".  

Also see:
ROP review of:

Pellatt, Richard, et al. "Is Buddy Taping as Effective as Plaster Immobilization for Adults with an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial." Annals of emergency medicine (2019).

Arch Orthop Trauma Surg. 2016 Jan;136(1):135-42. doi: 10.1007/s00402-015-2361-0. Epub 2015 Nov 11. Fifth metacarpal neck fractures treated with soft wrap/buddy taping compared to reduction and casting: results of a prospective, multicenter, randomized trial. van Aaken J1, Fusetti C2, Luchina S3, Brunetti S2, Beaulieu JY4, Gayet-Ageron A4, Hanna K5, Shin AY6, Hofmeister E

The first Corpsey episode! The official Podcast of the CorePendium clinical reference text, part of EM:RAP. In this episode we talk "dirty epi drip", where the term came from, how to make one and why the name needs to change. Your host is Mel Herbert and the program is EMRAP.org