Lidocaine or Amiodarone for Cardiac Arrest with a Shockable Rhythm?

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Cardiovascular diseases, Emergency Procedures, Medical General, medical procedures
More Tags – Amiodarone, cardiac arrest, Defibrillation, HPC updates, Lidocaine, Shockable Rhythm
After three defibrillation attempts, recommendations state that amiodarone or lidocaine may be considered for patients with cardiac arrest and persistent shockable rhythm.  A randomized, controlled trial was conducted and showed there was no significant difference between amiodarone and lidocaine and…
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Opinions on Euthanasia and Physician-Assisted Suicide

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Hospital Procedures, Medical General, medical procedures
More Tags – Euthanasia, HPC updates, Physician-Assisted Suicide
At the moment it is legal to practice euthanasia or physician-assisted suicide (PAS) in the following countries: Netherlands, Belgium, Luxembourg, Colombia, and Canada. PAS only (excludes euthanasia), is allowed in Switzerland and the following five U.S. states: Oregon, Washington, Montana,…
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Predictors of Difficult Intubation with Hypercurved Glidescope or C-MAC devices

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Emergency Procedures, Gastrointestinal diseases, Glidescope Intubation, medical procedures, Respiratory diseases
More Tags – C-MAC D-blade, Difficult Intubation, GlideScope, HPC updates, intubation, Videolaryngoscopy
Investigators have conducted a secondary analysis in order to identify predictors of difficult or prolonged intubation with hypercurved videolaryngoscopes. The analysis was of a randomized control trial of 1100 elective surgery patients. After anesthesia and neuromuscular blockade, these patients were…
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Guidelines for Imaging and Transfusion in Trauma

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Arterial line, Events, FAST Exam, Medical General, medical procedures, Traumatology
More Tags – FAST exam, Guidelines, HPC updates, National Institute for Health and Care Excellence, NICE, trauma
United Kingdom’s National Institute for Health and Care Excellence (NICE) recommends the following as guidelines for imaging and transfusion in trauma: Key Recommendations Use CT early and liberally in adults with major trauma, even omitting plain films and the focused…
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