Author: wendyrollerblades

Senior EM Resident at SUNY Downstate / Kings County Hospital, EM/Critical Care Blogger, Medical Student Education Curriculum Co-Chair, has a blackbelt in “keepin’ it real”

VBG vs ABG in Hypercarbia

The blood gas analysis offers important data to guide the treatment and prognostication of critically ill patients. Providers are able to quickly assess acid-base status, tissue perfusion, and respiratory mechanics. Traditionally, providers relied on arterial blood gas (ABG) for these…

Sepsis 3.0 in the ED

Sepsis is no longer defined as SIRS + a suspected source but rather “life-threatening organ dysfunction due to a dysregulated host response to infection”. This is according to the new guidelines released by the Sepsis-3 task force in 2016. By…

ED Lifehacks For Your Suture Kit

*This blog post was selected as a 2016 “Top 5- Finalist” by the ALiEM Essentials fellowship committee! The suture kit truly is the “Swiss Army Knife” of the Emergency Department. Within that box is a treasure trove of sterile tools that can…

Hemorrhagic Shock

The Case 36 YOF PMH GERD, lap band s/p removal 8 months prior BIBEMS for multiple episodes of hematemesis, melena x1, syncope x1. Patient was lethargic upon arrival. BP 70/55 HR 120 RR 22 02 Sat 98% Temp 97.8F. On…

TXA in Trauma

Tranexamic acid (TXA) is an antifibrinolytic drug that was first discovered nearly 60 years ago by two Japanese scientists. TXA has been used to mitigate blood loss in elective surgeries, hemophiliacs, post-partum hemorrhage, and most recently after major trauma1. Here in…