Needle Decompression

Successful decompression is dependent on the needle reaching the thoracic cavity, the patency of the catheter, and the correct identification of the appropriate landmarks. Increasing chest wall thickness has led to recommendations to use longer angiocathetersto ensure successful access to…

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Decoding the High-Sensitivity Troponin

Understanding the high-sensitivity Troponin can be confusing. The literature, for the most part, was done outside of the United States using assays that are not approved by the FDA at this time. The first barrier to understanding the hs-cTn…

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ACLS/PALS High Yield Review

This summary review is designed to hit the high yield aspects of the 2015 update to BLS, ACLS and PALS that is not included in the algorithmic portions of these courses. It is designed to supplement classroom didactics for…

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Acute Variceal Bleeding: An evidence based approach

Background Variceal bleeding is a major complication of portal hypertension, causing approximately 70% of all upper GI bleeds in cirrhosis and is the leading cause of death in these patients.1,2 Portal hypertension is defined as a hepatic venous pressure gradient…

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