Tiny Tips: The Ottawa SAH Rule

In Tiny Tips by Brent Thoma2 Comments

This month’s ALiEM Journal Club discussed Perry et al’s 2013 paper Clinical Decision Rules to Rule Out Subarachnoid Hemorrhage for Acute Headache. If you haven’t already, check out the awesome collaborative vodcast featuring ALiEM Editors, Annals of EM Editors and the Authors! If you can’t spare 30 minutes, watch at double speed. I suspect the Ottawa SAH rule may be destined to join the ranks of Stiell et al’s other Canadian exports (the Canadian CT …

Tiny Tips: Approach to the Alarming Ventilator

In Tiny Tips by Brent Thoma4 Comments

The December edition of EM:RAP had a great segment with Haney Mallemat and Stuart Swadron that went over five “Critical Care Quickies.” One of them presented an approach to an alarming ventilator that really caught my eye. The classic mnemonic that I was taught for this situation was Differential for the Alarming Ventilator: DOPE(S) D – Dislodged tube O – Obstructed tube (mucous plug, blood, kink) P – Pneumothorax E – Equipment failure (ventilator, …

Tiny Tips: Seizures and STATUS EPILEPsy

In Tiny Tips by Teresa Chan1 Comment

Seizure is a common presenting complaint in the Emergency Department.  According to one study seizure related presentations amount to about 1% of all ED visits. In that same study, status epilepticus accounted for around 6% of those patients presenting with seizures  And that was in 2000. Since then, then the definition of status epilepticus has changed.  In 2008, the Neurocritical Care Society introduced a new definition for Status Epilepticus. Status Epilepticus is now defined as: 5 minutes …

Tiny Tips: The CATCH Rule

In Tiny Tips by Brent Thoma2 Comments

Yesterday CJEM tweeted out one of their latest article to become open-access: Review of the CATCH study: a clinical decision rule for the use of computed tomography in children with minor head injury. While I understand that they are not able to make all of their articles open-access due to financial considerations, they have made the effort to make those articles published >1 year ago freely available. This article provides an overview and …