Currently, guidelines recommend therapeutic hypothermia for comatose adults with out-of-hospital cardiac arrest (OHCA). A recent trial of adults with OHCA showed that therapeutic hypothermia with the use of a targeted temperature of 33°C vs maintained therapeutic normothermia of 36°C, did not improve outcomes. There is a paucity of randomized trials of therapeutic hypothermia in children with OHCA, but sometimes adult trials get extrapolated to pediatrics. There are differences between adult and pediatric populations with OHCA, which makes it difficult to extrapolate the results of the adult trials to a pediatric population.
Dr. Jeremy Faust is a EM resident of many talents. His accomplishment are wide and varied from his many musical awards, to his work with grammy award winning vocal group Roomful of Teeth, to his column in ACEPnews, to his appearance on the Rachel Maddow Show speaking on the Ebola crisis, to his upcoming SMACC Chicago talk. He’s well known in the FOAM world and, for the last year, has been producing quality FOAM core content with Lauren Westafer on their podcast: FOAMCast. Dr. Jeremy Faust, following his own mantra, broke the mold, submitting his How I Work Smarter column despite not being officially nominated. Bold. Follow the link, yall, to discover Dr. Faust’s keys to success.
To launch Season 2 of our EM Match Advice Series, Dr. Michael Gisondi has recruited another all-star cast of residency program leaders around the United States to share their sage wisdom about the Visiting Student Application Service (VSAS). This centralized process to coordinate visiting clerkship rotations first began in 2008 and now almost all medical schools participate. Because anecdotally the VSAS application process has been challenging, we gathered some experts to share their insights in a Google Hangout.
Welcome to another ultrasound-based case, part of the “Ultrasound For The Win” (#US4TW) Case Series. In this peer-reviewed case series, we focus on real clinical cases where bedside ultrasound changed management or aided in diagnoses. In this case, a 101-year-old man presents after being found down with altered mental status.
Excited delirium syndrome is defined as “a syndrome of uncertain etiology characterized by delirium, agitation, and hyperadreneric autonomic dysfunction” . You may have encountered a patient like this in the ED or prehospital setting. Although the etiology is impossible to determine in many cases, stimulant abuse and other drugs are involved in a majority of cases. An 8% mortality has been ascribed to Excited Delirium Syndrome, resulting from hyperthermia, severe metabolic acidosis, and cardiovascular collapse.
I am Dr. Rob Woods, Program Director, Medical Advisor, and STARS Transport Physician: How I Stay Healthy in EM
Dr. Rob Woods (@robwoodsuofs) is an individual that is truly committed to self-improvement and, in terms of wellness, he has exceeded. Currently, he is the program director of the University of Saskatchewan FRCPC EM Program, Medical Advisor to Ground Ambulance Services, and a STARS (HEMS) Transport Physician. How he excels in all these jobs and still has time to be known as a loving father and husband, amazing Program Director, and CrossFitter is incomprehensible! But it may have something to do with the fact that he has mastered time management. A great competitor on and off the field, Dr. Woods is never afraid to show his competitive side, which always makes things a bit more fun! Here’s how he manages to stay healthy in EM!
This month starts our inaugural ALiEM Chief Resident Incubator and this post is the culmination of a 7-day intensive writing project by our 100+ Chief Residents. Incredibly we were impressed by the caliber of writing and insightfulness of our members. Congratulations especially to the lead editors, Dr. Melissa Joseph (LAC+USC) and Dr. Jimmy Lindsey (Univ of Chicago). Looking forward to an exciting year ahead of us!