get them before they sell out
The more and more you are aware, the more and more you shed from day to day what you have learned so that your mind is always fresh, uncontaminated by previous conditioning. -Bruce Lee Perhaps one of the most dangerous events in both military and civilian retrieval medicine is hoisting. Although relatively infrequent it is […]
It is quite uncommon that while reading the results of a clinical trial one feels the universal gasp of sorrow released from the hearts and minds of Emergency Physicians worldwide. Maybe it was my own personal anguish at the realization of the disastrous consequences the results of a recent trial published in the NEJM will […]
Among intubated patients, we can often control the pO2, pCO2, and pH. Sounds great. Unfortunately, we also have no idea which numbers we should be targeting. Should we target a normal pH, or permissive hypercapnia? Should we shoot for a normoxia, try to maximize the oxygen delivery (hyperoxia), or allow for permissive hypoxemia? Nobody knows. We check ABGs and tweak the ventilator, but it's often dubious whether this helps our patients.