Welcome to the new Tamingthesru
Same great content - new look - improved search
A Fix for a Stinging Heart - Pericarditis Treatment in the ED
Pericarditis is inflammation of the pericardial sac. Classically, pericarditis presents with sharp and pleuritic chest pain which is relieved by sitting up and forward. Pericarditis has multiple etiologies, but is most commonly idiopathic, assumed to be viral, in developed countries (1). Treatment of pericarditis should be targeted to the underlying etiology if possible (1). For presumed viral, idiopathic causes, most patients are treated with non-steroidal anti-inflammatory drugs (NSAIDs) and colchicine (1).
Grand Rounds Recap 9.9.2020
The week started off with an anxiety inducting lecture on medical malpractice. Not to be outdone our PEM colleagues gave us a simulation with a 29 week premature delivery. This was followed by a review of different long term tubes that are in our patients. We were honored to have Drs. Mallory and Unaka give us a lecture on structural racism and how this has impacted racism in medicine, as well as how we can do better.
Ketamine Potpourri
In our most recent journal club, we took a look at 3 articles focused on the use of ketamine in the Emergency Department. When treating pain with ketamine, does a rapid administration of ketamine result in more dysphoria? When used for RSI, is ketamine more hemodynamically stable than etomidate? When using ketamine for procedural sedation in adult patients, does pre-treatment with versed or haldol decrease clinically significant emergence agitation?