Journal Club: RSI in TBI
If you missed Dr. Neha Mehta-Sykes’s JC on this topic, make sure to read the review posted below. Our choice of paralytics in these patients often causes a stur amongst our NICU colleagues, so educate yourself!
Clinical Vignette: 70 yo M with PMH of HTN, non-compliant with HCTZ and amlodipine, presenting with new-onset seizure x2 witnessed by family, followed by altered mentation. EMS was called by family. Presenting vital signs are: BP 225/135, HR 120, RR 12, pulse ox 95% on non-rebreather mask, temp 37.3. GCS 5, responsive to pain in all extremities except for right upper, with right eye gaze deviation. The decision is made to intubate the patient for airway protection. You suspect an intracranial hemorrhage as the cause of his seizures. Which medications would you like to use to intubate the patient?
Click here for the review and musings on the topic!
Click here for all the articles!
Think Pair & Share: Abscess/Cellulitis
We had our first ever Think Pair & Share FLIP this week! Big shout out to Drs. Messman, Kava, and Burkholder for paving the way for this. We hope to integrate more true FLIPs such as this into our conferences. These are discussion based small groups, so I’m sure every group had a slightly different experience. See the full literature review below if you wanted to revisit any of the topics.
Click here for the deepest of dives