Guideline Review: ACEP 2018 – ED Procedural Sedation with Propofol

The last American College of Emergency Physicians (ACEP) guideline recommendations regarding the use of propofol for ED procedural sedation was in 2007. Much research has since demonstrated its safety in adults and children. Furthermore, many clinicians are co-administering ketamine or fentanyl in conjunction. This 2018 ACEP update¹ addresses these issues and much more. The following infographic summarizes the key points.

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By Kelly Wong, MD|2019-09-05T20:30:45-07:00Apr 17, 2019|Guideline Review, Tox & Medications|

ALiEMU Capsules 12: Pharmacology of Intracranial Pressure Management

The newest installment in the popular ALiEMU Capsules series is live. This module focuses on the critical care topic of intracranial pressure management. Specific topics include hyperosmolar therapy with mannitol versus hypertonic saline and blood pressure management. Go to the ALiEMU Capsule and take the quiz for your Capsules certificate.

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By Michelle Lin, MD|2019-03-27T08:21:40-07:00Feb 27, 2019|ALiEMU, Capsules, Neurology, Tox & Medications|

ACMT Toxicology Visual Pearls: Don’t Go Breaking My Heart

The following ultrasound video was obtained in a hypotensive 23 year-old man with a history of drug abuse. What drug of abuse when used chronically is most likely to lead to this ultrasound finding in an otherwise healthy patient?

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By Jennifer Pallansch, MD|2020-01-02T17:30:28-08:00Feb 18, 2019|ACMT Visual Pearls, Tox & Medications, Ultrasound|

ACMT Toxicology Visual Pearls: Abnormal Brain Imaging

An 85 year-old man presented with coma after ingestion of a household product. Two key axial views of his brain MRI are shown. Which of the following did he ingest?

Apple cider vinegar
Bleach
Drain cleaner
Ethylene glycol
Hydrogen peroxide

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By Laura Tormoehlen, MD, FACMT, FAAN|2019-11-12T19:05:15-08:00Jan 21, 2019|ACMT Visual Pearls, Tox & Medications|

ACMT Toxicology Visual Pearls: Blue Urine

A bedside urine test for a pesticide is positive as shown in the photo. What pesticide is being detected?

Chlorpyrifos
Diquat
Glyphosate
Paraquat

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By Jennifer K. Potter, MD|2019-11-12T19:05:26-08:00Dec 3, 2018|ACMT Visual Pearls, Environmental, Tox & Medications|

Case of a Lethargic Child: Developing a Differential Diagnosis

A 2-year-old previously healthy boy presents to the emergency department (ED) acting sleepier than usual. Yesterday, he was in his usual state of health, but this morning he didn’t wake up at his usual time of 6 am. When his father went to his room at 7 am, the child was lying in bed. He opened his eyes to look at his father, but did not get out of bed. The mother and father deny any trauma, fever, or seizure activity.

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By Aaron Kornblith, MD|2018-11-22T15:23:48-08:00Nov 28, 2018|Pediatrics, Tox & Medications|

ALiEMU Capsules Module 11: Acute Agitation

We are proud to present Capsules Module 11: Acute Agitation, now published on ALiEMU. We present a summary of the module with key points from a stellar module by PharmDs Jenny Koehl, Kyle DeWitt, Gabrielle Procopio, and Zlatan Coralic. When you’re finished, head over to the Capsules page for even more practical pharmacology for the EM provider.
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By Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP|2018-11-16T05:30:58-08:00Nov 16, 2018|ALiEMU, Capsules, Tox & Medications|