Pediatric Advanced Life Support (PALS) guidelines were most recently reviewed in Circulation 2010 1 based on the International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science which includes treatment recommendations. Dr. Rahul Patwari nicely summarizes these findings in this series of 8 videos
![Desouza, Natalie[2]](https://i0.wp.com/www.aliem.com/wp-content/uploads/2013/08/Desouza-Natalie2.jpg?ssl=1)
There are many things that print journals do well. One of the best ideas that I have seen from the Annals of Emergency Medicine is the unique idea of having a Resident Editor on the executive team. This provides the resident exposure to the behind-the-scenes operational processes of running a journal under a mentored environment. Similarly, ALiEM has experienced such rapid growth in the past year with the addition of amazing regular bloggers that we are ready to welcome our first Resident Editor Dr. Natalie Desouza (UCSF-SFGH EM senior resident).
In this digital age, it is somewhat assumed that you know how to manage all the digital information coming at you in the forms of email, Facebook, Twitter, blogs, podcasts, RSS feeds. Even if you only partake in email as your primary communication platform, information still can be quite overwhelming as a trainee or practicing medical provider. At a the annual Bay Area EM residency conference last week, Dr. Charlotte Wills (Highland), Dr. Rebecca Smith-Coggins (Stanford) and I were invited by Dr. Esther Chen (UCSF-SFGH) to share some our personal insights and advice on a panel. We quickly realized that this is indeed a hot topic which often gets subsumed under the larger umbrella of “Wellness”.
Due to the overwhelming popularity of Dr. Salim Rezaie‘s recent post discussing the Brugada criteria for SVT with aberrancy vs VT, Dr. Jason West (@JWestEM, an EM resident from Jacobi/Montefiore) kindly helped to co-author and package this information into a PV card for quick reference. To use this sequential, four-question approach, if at any time you answer YES to the question, it is ventricular tachycardia.
Adapted from [1]
Go to ALiEM (PV) Cards for more resources.
When you attend Morbidity & Mortality or Quality Improvement (QI) Conferences, the cases presented often have teaching points, which revolve around potentially avoidable errors. Subtle and not-too-subtle clues often reveal themselves along the way, which could have been detected sooner. This ALiEM QI Series, hosted by Dr. Steven Polevoi (UCSF EM Medical and QI Director), was created to help you become a better detective in finding these clues early in the patient’s course.
“Learn from the mistakes of others. You can’t live long enough to make them all yourself.” – Eleanor Roosevelt
Dr. Rahul Patwari continues with the fourth and fifth videos in this series on Evidence Based Medicine (EBM) and Treatment Studies (see first three videos). These two videos are about the concept of Confidence Intervals and Patient Applicability. The second video below makes great points about whether a published study is applicable to YOUR patient. Don’t fall into common traps.
Dr. Rahul Patwari reviews evidence-based medicine (EBM) concepts specifically regarding treatment studies, as guided by the JAMA Users Guide to the Medical Literature manual. In these first three videos, Rahul provides a brief introduction to the concept of treatment studies and then discusses (1) how to assess whether the results are valid and (2) calculating the risks/benefits of treatment based on the IST-3 trial?