THIS! IS! BIG! ACEP worked with TJC to clarify that EPs can eat at an ED work station during shifts. #LetsEat More, including info you can take to hospital admin, click here: ACEP.org/letseat Read the FAQ here: bit.ly/2TYn82C Emergency Physicians emresidents

We receive almost daily reminders of the fragility and temporality of human life, and yet continue to delude ourselves that we’ll ‘take some time off next year’ or ‘go travelling one day’ or ‘work long hours now to save for retirement’. Wake up. Live your life. TODAY.

Guidelines Review: Infographic by Kelly (Wong) Heidepriem, MD summarizing the 2018 ACEP Guideline Update on ED Procedural Sedation with PROPOFOL covering such issues as: - Pediatric vs adult bolus dosing - Coadministration with ketamine/fentanyl - NPO status aliem.com/2019/04/guidel…

Should we add muscle relaxants to ibuprofen for acute low back pain? jwat.ch/2Pe7EWN AnnalsofEM

It’s finally happened. Hot off the press! The release of ConSEPT and EcLiPSE in The Lancet Which is the best 2nd line treatment for children in status epilepticus? Phenytoin v levetiracetam Team DFTB got a sneak preview to bring you our analysis dontforgetthebubbles.com/consept-eclips…

Also check out Sergey Motov's awesome #Opioid Algorithm!

In a review of hazardous chemical emergencies & poisonings, the authors explain the effects of exposure to respiratory irritants, vesicants, asphyxiants (including cyanide), and cholinergic agents (organophosphate insecticides and military nerve agents). nej.md/2ISppcZ

Yes. Yes. Can I even draw up 312.5 mg?

Prospective evaluation of 4F-PCC for reversal of factor Xa inhibitors #critPRN bit.ly/2X5A8o9

From Pages to Practice: Dabigatran Anticoagulation to Reduce Stroke Recurrence nej.md/2JRtoH3 via NEJM Resident 360

Ready for flu season 🤧 in your Emergency Dept? Review the 2018 IDSA guideline update on season influenza with this helpful infographic by Kelly (Wong) Heidepriem, MD aliem.com/2019/11/guidel… IDSA

#Naloxone administered intranasally may not be as effective as intramuscular injections for reversing #opioid overdoses. JAMA Network Open

Initiation of a fixed-dose four-factor prothrombin complex concentrate protocol | Our latest research using 1500 units for all indications link.springer.com/article/10.100… Josh Goldstein MGH Emergency Med

May be reasonable to choose tenecteplase over IV alteplase

Intravenous valproate, levetiracetam, and fosphenytoin stopped status epilepticus that was resistant to initial treatment with lorazepam in approximately half the patients and did not differ significantly in effectiveness. nej.md/2OFitRQ

Military study showing significant mortality reduction with ROTEM-guided resus compared to std of care in univariate, multivariate, AND propensity-matched models Everyone should have TEG/ROTEM in the trauma bays at this point bit.ly/3dylqy4

Antiplatelet Use and Ischemic #Stroke Risk in Minor Stroke or Transient Ischemic Attack: A Post Hoc Analysis of the POINT Trial bit.ly/3AKcEZy Shadi Yaghi Brian Mac Grory Clay Johnston Mohammad Anadani

Pharmacotherapy debates times! 🥊🥊 Up first: should nimodipine be continued when patients are on pressors for vasospasm? Megan Barra, PharmD says yes

I had the pleasure of moderating a discussion between Drs. Colleen Bond and Andy Webb regarding use of nicardipine versus clevidipine in the neuro patient! On Neurocritical Care Society podcast series: podcasts.apple.com/us/podcast/neu…