Corpsey

Mel goes over a quick and dirty way to do the axis on ECG and why it is important. Check out the Peds Cardiac disorders in CorePendium. All part of EMRAP.org

HYPOKALEMIA on ECG and COVID updates Jun 17, 2020

The hypokalemia chapter is here.
The COVID resources are here.

Acute Diverticulitis - No antibiotics!! Feb 25, 2020

Based on CorePendium chapter by: Christina Tupe, MD Section Editors: Omoyemi Adebayo, MD Sara Manning, MD Associate Editor: Mike Winters, MD
Refs:
Shabanzadeh DM, Wille-Jørgensen P. Antibiotics for uncomplicated diverticulitis. Cochrane Database Syst Rev. 2012;11:CD009092. Published 2012 Nov 14. doi:10.1002/14651858.CD009092.pub2
Daniels L, Ünlü Ç, de Korte N, et al. Randomized clinical trial of observational versus antibiotic treatment for a first episode of CT-proven uncomplicated acute diverticulitis. Br J Surg. 2017;104(1):52–61. doi:10.1002/bjs.10309
Chabok A, Påhlman L, Hjern F, Haapaniemi S, Smedh K; AVOD Study Group. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br J Surg. 2012;99(4):532–539. doi:10.1002/bjs.8688

HYPERglycemia Feb 10, 2020

Mel talks CorePendium updates and uncomplicated HYPERglycemia. Check out CorePendium at EMRAP.org.
Also see: https://doi.org/10.1016/j.ajem.2018.09.053 and http://dx.doi.org/10.1016/j.annemergmed.2016.04.057

D Dimer Cutoffs Jan 08, 2020

Mel explores the wonderful world of age and pre-test probability cutoffs for D Dimer and a BIG thought by Dr. Jeffery Kline.
See: CorePendium: Venous Thromboembolism Chapter and a recent NEJM paper to be reviewed on march EMA.
Allpart of EMRAP.org

Massive PE and Inhaled Agents Dec 16, 2019

Sara Crager, MD takes us through a really unique way to reduce pulmonary vascular resistance in a patient with massive PE. See the full lecture here. All are of EM:RAP
Studies:
https://www.ncbi.nlm.nih.gov/pubmed/27470232
http://www.roaic.eg.net/article.asp?issn=2356-9115;year=2017;volume=4;issue=1;spage=35;epage=39;aulast=Fikry

Status Epilepticus Dec 01, 2019

New paper published in the NEJM on second line agents for Status Epilepticus. Mel does a quick review and notes it has already been added to the Seizures in Adults chapter of CorePendium. All part of EM:RAP

Episode 3 Altitude Illness Nov 24, 2019

A reader quested if you ALWAYS should descend a patient with HAPE. Our author responds. based on the Altitude Illness chapter of CorePendium at EM:RAP.org

Buddy Taping vs. Splint for "Boxer's Fracture Nov 15, 2019

We review CorePendium's current recommendations for "Boxer's Fracture" and let you know of an editor update we are going to make. Based on CorePendium "Hand, Foot and Amputation Injuries".
Also see:
ROP review of:
Pellatt, Richard, et al. "Is Buddy Taping as Effective as Plaster Immobilization for Adults with an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial." Annals of emergency medicine (2019).
Arch Orthop Trauma Surg. 2016 Jan;136(1):135-42. doi: 10.1007/s00402-015-2361-0. Epub 2015 Nov 11. Fifth metacarpal neck fractures treated with soft wrap/buddy taping compared to reduction and casting: results of a prospective, multicenter, randomized trial. van Aaken J1, Fusetti C2, Luchina S3, Brunetti S2, Beaulieu JY4, Gayet-Ageron A4, Hanna K5, Shin AY6, Hofmeister E

Bedside Epi Drips Nov 08, 2019

The first Corpsey episode! The official Podcast of the CorePendium clinical reference text, part of EM:RAP. In this episode we talk "dirty epi drip", where the term came from, how to make one and why the name needs to change. Your host is Mel Herbert and the program is EMRAP.org

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