alt“Who in their right mind would take an inch and a half needle, fill it with some bupivacaine, and stab somebody in the back of the neck to get rid of their headache?”

An ALTE, or apparent life-threatening event, is defined somewhat nebulously. Essentially, it is a frightening episode involving a combination of apnea, change in color or tone, choking or gagging. The differential diagnosis for an ALTE is broad, ranging from relatively benign conditions such as gastro-esophageal reflux to congenital heart disease or child abuse.

altIn October’s EMRAP, Dr. Sanjay Arora discussed procedural sedation and analgesia (PSA) with Mel Herbert. Their discussion centered on ketofol, the combination of ketamine and propofol, which has been proposed as an ideal agent for PSA. The question of the hour: Could Ketofol be the perfect drug?

altYou walk into your next code and it’s a man in his 60s who collapsed on his way to his cardiologist’s office. His wife insists that he doesn’t need CPR because he has a kind of artificial heart, an LVAD. No one in the department has ever seen a patient with one of these before.

altWe just finished a two-part series with one of our former Chief Residents, Dr. Zachary Shinar. Zach has been working in San Diego at Sharp Memorial Hospital and more recently at UC San Diego. What he has been up to down there is nothing short of incredible.

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