Droperidol, Ziprasidone or Ativan for Agitation Control in the ED

Martel ML, Driver BE, Miner JR, Biros MH, Cole JB. Randomized Double-blind Trial of Intramuscular Droperidol, Ziprasidone, and Lorazepam for Acute Undifferentiated Agitation in the Emergency Department. Acad Emerg Med. 2021 Apr;28(4):421-434. doi: 10.1111/acem.14124. Epub 2020 Oct 5. PMID: 32888340. The answer is still Droperidol however given the small sample size this still needs to […]

Pressure Support Or T-Piece Trials

There may not be much data on which type of Weaning trial is best..But if there were Id pick this one!

SO YOU THINK YOU KNOW CELLULITIS?

Sometimes things aren’t as they seem. As an attending I often hear from a resident “Hey got an easy one for ya, 50 y/o diabetic with bilateral cellulitis vanc given, I’ll get some admit labs” followed by a precipitous mic drop. I was told once that a good attending “makes a difficult case simple and […]

Stroke 2018 Update

In March New Stroke guidelines came out. Wow are they aggressive! tPA and endovascular therapy (EVT) for all… forget what the literature says! Well We NEED to know these so I’ve listed them here for reference. Sorry about the format. I’ll pretty it up soon! Stroke. 2018;49:e46–e99. DOI: 10.1161/STR.0000000000000158.) A primary goal of achieving door-to-needle (DTN) […]

ATLS 10th Edition 2018 Update

Since summer is closing and “Fall” is upon us I thought it would be a good time to “drop” some Trauma knowledge especially since “Crash (2)” is in the ATLS update. Here are the major changes in the 10th Edition of ATLS. Luckily ATLS is getting closer to the evidence and what many of us […]