Lecture for March 28th, 2013: Does RSI with etomidate increase risk of mortality or adrenal suppression?

This month we will address the question of whether or not there is sufficient evidence to believe that etomidate increases the risk of mortality or adrenal suppression when used for RSI by reviewing the papers below, and listening to an EMRAP podcast.

We will make the EMRAP podcast available to you rather than posting it here.

Papers to be reviewed:

Albert SG, Ariyan S, Rather A. The effect of etomidate on adrenal function in critical illness: a systematic review. Intensive Care Med. 2011 Jun;37(6):901-10.

Tekwani KL, Watts HF, Sweis RT, Rzechula KH, Kulstad EB. A comparison of the effects of etomidate and midazolam on hospital length of stay in patients with suspected sepsis: a prospective, randomized study. Ann Emerg Med. 2010 Nov;56(5):481-9.

Enjoy!

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Lecture for March 7th, 2013: What is the evidence behind various treatment modalities for accidental hypothermia?

This month, we will consider the evidence behind the various, sometimes very invasive, treatments for hypothermia by reviewing the papers below and listening to an EMCRIT podcast.

Listen to the EMCRIT podcast here: Until they are warm and dead: Severe Accidental Hypothermia.

Papers to be reviewed:

Brown DJ, Brugger H, Boyd J, Paal P. Accidental hypothermia. N Engl J Med. 2012 Nov 15;367(20):1930-8.

Plaisier BR. Thoracic lavage in accidental hypothermia with cardiac arrest–report of a case and review of the literature. Resuscitation. 2005 Jul;66(1):99-104.

Kjaergaard B, Bach P. Warming of patients with accidental hypothermia using warm water pleural lavage. Resuscitation. 2006 Feb;68(2):203-7.

Morita S, Inokuchi S, Yamagiwa T, et al. Efficacy of portable and percutaneous cardiopulmonary bypass rewarming versus that of conventional internal rewarming for patients with accidental deep hypothermia. Crit Care Med. 2011 May;39(5):1064-8.

Enjoy!