June 15, 2016
#smaccDUB day 2
Dr. Reuben Strayer - “Disruption, Danger, and Droperidol: Emergency Management of the Agitated Patient."
Dr. Strayer presented a brilliant talk on dealing with the quintessential Emergency Medicine patient - the undifferentiated acutely agitated patient. These patients are high risk and require emergent stabilization and resuscitation.
Dr. Haney Mallemat - "The PEA Paradox"
The typical way we think about PEA, the "H's and T's," is overly complicated. Further, we are horrendous at pulse palpation (see this for more), and so what we think is PEA may not actually be PEA. Dr. Mallemat proposed QRS duration as one way to think about PEA, although this has limitations.
Dr. Michele Dominico - "How Usual Resuscitative Maneuvers Can Kill Paediatric Cardiac Patients"
Interventions we jump to in sick patients - oxygenation, ventilation, vasopressors - these can kill pediatric patients with cardiac pathology. She gave examples of some high yield pearls in these already terrifying patients.
EM Literature update by Drs. Ashley Shreves and Ryan Radecki
Interesting and Ridiculous Research Pearls from Drs. Ashley Shreves and Ryan Radecki