Bonus lecture for April 2nd, 2014: Sepsis and the ProCESS trial


Next week on 4/2/14, we will hold a special lecture hour guided by Dr. Powell about the clinical approach to sepsis and the recently published ProCESS trial. The paper is posted below in the usual fashion, and check out the EMCRIT podcast.

Reference: The ProCESS investigators. A Randomized Trial of Protocol-Based Care for Early Septic Shock. N Engl J Med. 2014 Mar 18, published online ahead of print.




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Lecture for March 26th, 2014: Therapeutic Hypothermia

This month, the format of the EBM lecture is changing to a panel discussion to discuss the impact that the following paper has had on the therapeutic hypothermia protocol at NMH:

Nielsen et al. Targeted temperature management at 33°C versus 36°C after cardiac arrest. N Engl J Med. 2013 Dec 5;369(23):2197-206

Please read the article and enjoy the discussion. There is no associated podcast this month.

Lecture for February 5th, 2014: Toxic Alcohols

This month, we will discuss toxic alcohol ingestions, some pharmacokinetics, and treatment modalities of ingestions, specifically whether or not dialysis is indicated

Click here to listen to the podcast, this month, it’s coming from ERCAST.

Papers to be reviewed:

Levine et al. Ethylene glycol elimination kinetics and outcomes in patients managed without hemodialysis. Annals of Emergency Medicine. 2012 Jun;59(6):527-31.

Lepik et al. Adverse Drug Events Associated With the Antidotes for Methanol and Ethylene Glycol Poisoning: A Comparison of Ethanol and Fomepizole. Annals of Emergency Medicine. 2009 Apr;53(4):439-450.e10.

Please enjoy!

Lecture for December 18th: Palliative care in the emergency department

This month, we will discuss various approaches to palliative care in the ED, by watching the following videocast, and reviewing the papers listed below. We will also be briefly discussing health services research during this lecture.

Click here to watch Ashley Shreves of SMARTEM give a lecture about palliative care in the ED.

Papers to be reviewed:

O’Mahoney et al. Preliminary Report of a Palliative Care and Case Management Project in an Emergency Department for Chronically Ill Elderly Patients. Journal of Urban Health: Bulletin of the New York Academy of Medicine, Vol. 85, No. 3

Richards et al. Palliative Care Symptom Assessment for Patients with Cancer in the Emergency Department: Validation of the Screen for Palliative and End-of-Life Care Needs in the Emergency Department Instrument. JOURNAL OF PALLIATIVE MEDICINE Volume 14, Number 6, 2011

Please enjoy!