Category Archives: Uncategorized

EM ONE – September Update – Changing SUX to ROC

So this post is not about new data, but a new way of practicing emergency medicine.  Our EMS system will be switching from using Succinylcholine (SUX) to using Rocuronium (ROC) on selected intubated patients next month. Below is the data behind the decision, which … Continue reading

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Rocuronium vs Succinylcholine for Intubation

Practice Changer: I will be using ROC at 1.2mg/kg in my ED patients who do NOT require repeat neurological examination.  It has no contraindications, is equally effective to SUX, and will give me LONGER SAFE APNEIC TIME to secure the airway. … Continue reading

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EM ONE – August Update – Cardiology

Hey Everyone – Our recently adopted HEART score has a new twist, the HEART Pathway, that may be perfect for US ED use.  While our cardiology colleagues may have fewer chest pain consults, the new AHA guidelines for out of hospital … Continue reading

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PCI after Cardiac Arrest

Practice Change:  After an ECG, ABG, and beside electrolytes all comatose post-arrest patients with ROSC should be discussed with the cardiologist for emergency PCI – up to 25% may benefit.  Cardiac Arrest: A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient JACC – … Continue reading

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HEART PATHWAY for Cardiac Risk

Practice Changer: The HEART Pathway is a simple cardiac risk assessment tool that is designed for use in the ED.  It’s safe and effective at classifying patients as low risk for outpatient evaluation of cardiac disease while also decreasing length of stay and … Continue reading

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