Author Archives: Mike

Steroids in Pediatric Asthma

Asthma exacerbation is a common complaint seen in the emergency department. The cornerstone of treatment consists of short acting beta agonists (albuterol), respiratory anticholinergics (ipratropium bromide), and steroids. Lets talk about steroid treatment in children with mild to moderate asthma … Continue reading

Posted in Medications, Pediatrics, Pulmonology | Leave a comment

Calling STEMI

How good are physicians at calling STEMI? After reading Dr. Smiths “Can’t miss ECGs” in EM Resident Dec/Jan 2013 vol. 39, issue 6, I decided to look further into the accuracy of physicians to call STEMI.

Posted in Cardiology | Leave a comment

Outpatient Treatment Pulmonary Embolism

It might be time to start treating patients with pulmonary embolism as outpatients. Over 6 years ago two papers were published by the same authors that presented similar prediction rules to identify patients with pulmonary embolism who are at low … Continue reading

Posted in Cardiology, Hematology, Pulmonology | Leave a comment

Fresh Whole Blood Transfusion

What would you do if placed in an environment or situation in which laboratory prepared blood components such as packed red blood cells, fresh frozen plasma and platelets were unavailable when a trauma patient needed it?

Posted in Hematology, Medications, Resus, Trauma | 1 Comment