• Analgesia

Taming the Beast: Ketamine

Ketamine is a well-established drug in anesthesia literature as it has been available for over 50 years.  Ketamine is a NMDA and glutamate receptor antagonist that has multiple pharmacologic mechanisms and characteristics making it an ideal agent for a growing number of indications.1  Common uses include treatm.. Read More
  • Analgesia

Intranasal Medication Use in Pediatric Patients in the Emergency Department Setting

The blog will offer a brief overview of some of the intranasal medications used in pediatric patients in the emergency department setting. Intravenous access may be a technically challenging and time consuming task in pediatric patients. Oral medication use may be limited by NPO status, poor taste, comparatively longer time.. Read More
  • Infectious

The Case for a Disciplined Approach to the Diagnosis of UTI’s

There has been an ongoing increase in hospitalizations for urinary tract infections and the associated costs for treatment in the United States.  We should consider a disciplined approach when obtaining a urinalysis and urine culture. Urinary tract infection (UTI) incidence and total cost of hospitalizations by sex, 199.. Read More

das SMACC – Pearls

The 2017 Social Media and Critical Care (SMACC) conference was held in Berlin, Germany. The conference was very inspiring and permitted me the opportunity to get away and explore the beauty and culture of Germany.  The highlights will definitely not capture all the key points of the entire conference nor the atmosphere and.. Read More
  • Cardiac

Is it Time We Consider Extracorporeal Membrane Oxygenation In Out of Hospital Cardiac Arrest?


The outcome of patients after out-of-hospital cardiac arrest (OHCA) is poor and only worsens after prolonged resuscitation. There is growing interest in utilizing extracorporeal membrane oxygenation (ECMO) assisted cardiopulmonary resuscitation in the management of refractory cardiac ar.. Read More