Hyperglycemic Emergencies

Diabetics often present to the Emergency Room with high blood sugar. Sometimes it’s just high and nothing else is wrong. Lower the sugar and send them on their way. Sometimes this represents something more ominous. In the next two videos we review the hyperglycemic emergencies of diabetic ketoacidosis and hyperglycemic hyperosmolar syndrome.

Active Shooter

Today, September 16, 2013, marks yet another day when a gunman opened fire upon civilians, killing unnecessarily. It seems that this is happening more frequently, and it would be foolish to think it is limited to schools, movie theaters and military compounds. As grim as it sounds, we should open the conversation as to what would we do? Is it possible to prepare. In this episode of EM:RAP, Ilene Claudius speaks with Mike Clumpner, paramedic, PhD, and active shooter expert. A lot of this seemed counter-intuitive to me.

Listen and feel free to comment below.

active_shooter

Penetrating Neck Trauma

Here is an application of the method we use to approach trauma, namely penetrating trauma to the neck. Here are some important questions to ask yourself while watching these videos:

  • What are the boundaries of the zones of the neck and why do they matter?
  • Do all patients need to be intubated?
  • Do all patients need to be put in a cervical collar?
  • What are the “hard signs” of neck trauma and why do they matter?

Anatomy

Management