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Uncategorized Published - 16 March, 2015    By - Dr Clemens
Insulin Needles Lessen Pain of Arterial Blood Gas Draws

Authors: Ibrahim I et al., Acad Emerg Med 2015 Mar 2; Drawing ABGs with a 29-gauge insulin needle instead of a standard needle is less painful and has fewer complications but results in slightly more hemolysis. While venous blood gas analysis has replaced arterial blood gas (ABG) analysis for many illnesses treated in the emergency […]

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Uncategorized Published - 13 March, 2015    By - Dr Clemens
Targeted Imaging Is the Best Approach for Pediatric Cervical Spine Evaluation

Authors: Hannon M et al., Ann Emerg Med 2014 Oct 15; Children with NEXUS risk factors for cervical spine injury should undergo plain radiographic imaging, and computed tomography should be reserved for those with positive radiographic findings. Investigators determined the optimal strategy for evaluating cervical spine injuries in children with blunt trauma, taking into account […]

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Uncategorized Published - 13 March, 2015    By - Dr Clemens
Transnasal High-Flow Humidified Oxygen for a Difficult Airway

Authors: Patel A and Nouraei SAR., Anaesthesia2014 Nov 10; A physiologic pharyngeal oxygen reservoir extends the safe apnea window. Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) is a technique for providing high-flow, positive-pressure, humidified oxygen via nasal cannula. When compared with traditional methods of apneic oxygenation, THRIVE has been shown to decrease the rate of rise […]

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Uncategorized Published - 12 March, 2015    By - Dr Clemens
Lactate Clearance and Outcomes After Cardiac Arrest Resuscitation

Authors: Lee DH et al., Resuscitation 2014 Nov 14; A Korean database study showed slightly higher rates of survival to hospital discharge with lactate reductions within the first hour. Rapid reductions in serum lactate levels have been associated with lower mortality in patients with sepsis and trauma, however, little is known about the effect in […]

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Uncategorized Published - 12 March, 2015    By - Dr Clemens
Ketamine Is an Effective Adjunct to Morphine for Pain, Even at Low Doses

Authors: Beaudoin FL et al., Acad Emerg Med 2014 Nov 21:1193 Patients receiving ketamine (at either 0.3 mg/kg or 0.15mg/kg) in addition to morphine reported better pain relief, but the higher ketamine dose was associated with more side effects. Although the use of ketamine as an adjunct to opioid treatment for pain has been previously […]

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