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ERCAST

Welcome to ERCast, a focused discussion on the questions, quagmires and known unknowns we face everyday in the emergency department.

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Feb 5, 2018

Vicky Vella is an emergency physician practicing in the United Kingdom with a special interest and expertise in eating disorders. In December of last year, Vicky had a guest post on the St Emlyn’s blog about the MARSIPAN Guidelines. Never heard of them? Neither had pretty much anybody. MARSIPAN is an acronym for...


Jan 15, 2018

Should I give bicarbonate to DKA patients with severe acidemia? I've certainly been admonished for NOT doing it. The reason for withholding bicarb has been that I've heard that it doesn't help and may actually be a bad idea. I can't say the action (or inaction) was based on a deep understanding.

How could bicarb in DKA...


Dec 8, 2017

What gives you fulfillment in your job? If you know it, do you make purposeful choices to keep pointed in that direction?

 


Finding the Joy

Dec 8, 2017

What gives you fulfillment in your job? If you know it, do you make purposeful choices to keep pointed in that direction?

 


Dec 6, 2017

Little things can make a big difference when it comes to running a code. EMS director and CPR aficionado Bill Reed gives a primer on High Performance CPR.

 

High Performance CPR core principles

  • Rate = 110 (100-120).
  • Metronome set at 110.
  • Depth = 2.0-2.5 inches.
  • Full recoil (no leaning).
  • Focus on rate & depth.
  • Listen...