2018-12-16: A nice review article regarding the use Direct Oral Anticoagulants and reversal of bleeding …

2018-12-13: A new review of ECLS (Extracorporeal Life Support) in Emergency Department patients. …

2018-03-12: A new paper on 12 Lead EKG in Acute MI by Steve Smith and colleagues. …

2018-03-12: Here are some notes on E-CPR (ECMO) for reference. www.dropbox.com/s/7phbyoi…

2018-01-21: CT showing air around the Heart. Most interesting physical exam finding: Hamman’s crunch. The …

2018-01-21: The patient complained of a fullness in the low neck, there is air there as well. Etiology: Coughing …

2018-01-21: Here is a close up of the air around the heart.

2018-01-21: 17 yo male, chest pain. Rub/crunch heard on cardiac exam. CXR reveals Pneumomediastinum.

2018-01-21: This EKG can represent multivessel coronary artery disease, Left Main coronary artery …

2018-01-21: Normal EKG: www.dropbox.com/s/xi6qvco… Abnormal EKG: www.dropbox.com/s/hdxhvay… ST …

2018-01-10: Sepsis Antibiotics and IV fluid compatibility. www.dropbox.com/s/9e77dd2…

2018-01-10: Antibiotics appropriate in Severe Sepsis and Septic Shock. www.dropbox.com/s/ip0r46a…

2018-01-09: Septic shock: Every hour in delay to antibiotics increases mortality by ~7%

2018-01-09: A good sepsis summary, which takes into account many of the recent large randomized trials. …

2018-01-08: New SEP-1 (Sepsis) changes from CMS effective this month. Here is a nice summary by one of my EM …

2018-01-08: In Sepsis, early broad spectrum IV antibiotics is critically important, ideally within an hour, …

2018-01-08: We are expanding the time window for stroke intervention in selected patients, now out to 24 hours. …

2018-01-06: Influenza is peaking in MN. EDs and hospitals are packed!

2017-11-13: First day at LEAN Healthcare conference at U of Michigan was pretty solid.

2017-09-30: ACCESS trial coming soon–Early Cath Lab vs. Early ICU for VT/VF. Here is an important study …

2017-09-30: Small study, yet impressive. Protocol for ECLS (refractory VT/VF) on arrival to cath lab is in this …

2017-09-30: Incredible results for ECLS by Yannopoulos and team in Minneapolis. Recent paper in JACC. …

2017-09-24: Schwag gift from #reanimate4. ECPR is traditional CPR augmented by ECMO.

2017-09-22: Just finished #reanimate4. A very solid meeting, pushing the envelope in ED resuscitation— cardiac …

2017-09-22: 75% through Reanimate4 in San Diego, very good simulation course for ECMO cannulation.

2017-09-18: Heading to San Diego on Thursday/Friday for Reanimate 4, hands-on ECMO/REBOA training. Very excited …