Here’s round 2 of conference FOAMed. I didn’t get any feedback on round 1 (http://theempulse.org/conference-foamed-72215/) but I figured that people are hungry for a bite of the online knowledge apple.
I. SICKLE CELL DISEASE – http://epmonthly.com/article/sickle-cell-10-things-every-ep-should-know-about-scd-/
This little article emphasizes many of the points that Dr. Ramnarine hammered home today. Remember that sickle cell whacks up your kidneys such that Cr is not a reliable indicator of GFR using standard formulas (http://www.ncbi.nlm.nih.gov/pubmed/23894560). Hence a Cr of 1.2 is highly abnormal in sickle cell.
II. CHEST X-RAY AND PNEUMONIA – http://www.ultrasoundoftheweek.com/uotw-34/
I saw Jesse G. get fired up about this at conference: chest X-ray is a piss poor test for pneumonia. What are the numbers you ask? It may only be 40-50% sensitive for the diagnosis (http://www.ncbi.nlm.nih.gov/pubmed/?term=Am+J+Emerg+Med.+2013+Feb%3B31(2)%3A401-5). What about ultrasound you ask? The numbers are better with a sensitivity of > 90% (http://www.ncbi.nlm.nih.gov/pubmed/24758612). So let’s all put our Koenig caps on and sono some lungs because to find all these pneumonias you gotta be an expert with ultrasound.
III. NEEDLE CRICOTHYROTOMY SETUP
Redneck needle cric setup:
- 14 G angiocath
- 3 ml synringe
- 7-0 ETT adapter
- BVM
Enjoy and discuss!
