Loop diuretics are crucial in acute heart failure. However, they are not first-line therapy for every acute heart failure patient presenting to the emergency department (ED). Contemporary heart failur...

As far as I can tell, despite talking about the paper widely at conferences, I never included a write up of the original ANDROMEDA-SHOCK trial on First10EM. (Hernández 2019) (There is a massive file of all the topics I want to cover, and would cover if this was a job rather than a hobby. I assume it just got lost in there.) As a reminder, that trial showed that clinical management of septic shock patients based on capillary refill time was not statistically different from management guided by trending lactates, although there was some optimism because the point estimate for all cause mortality was actually 9% better.

ALT: kermit the frog is wearing a black hoodie and kermit the frog is wearing a black hood .

The most up-to-date critical care website in the world.

The ESICM and AHA both just released new guidelines on post-arrest care. It's always interesting when two professionals produce "evidence-based"

Dr. Thom Mayer, Dr. Carolyn Snider, Dr. Howard Ovens, Dr. Anton Helman discuss: Leading is about action, not designation. We are all leaders. Being consistent, kind, and honest. How vulnerability is p...

Chris Hicks weighs in on dignity

YouTube video by The Protected Airway Collaborative

Should we be using ketamine sooner in status epilepticus--we debate the issue...

YouTube video by TBS Zermatt

background and general concept My research project in fellowship was the construction of a mathematical model to convert VBG values into ABG values.  The

To determine if ketamine, when added to midazolam for the treatment of out-of-hospital seizures, is associated with an increase in the rate of cessation of convulsions prior to hospital arrival.

YouTube video by Paediatric Emergencies

Depending on how you count, I’ve now been doing emergency medicine for 20 years. This is how I see patients. The protocol below does not apply to resuscitation patients. For resuscitat…