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melherbert

  1. @sarabaker thanks for the update. Mel
  2. Testing a new stream. Can you guys go to www.ustream.tv/channel/emra... and tell me if you are getting the stream
  3. www.emcorecontent.com is now up and ready for subscribers. Lots of content, each week 5 more hours will be added. Great stuff planned!!
  4. Working the evening. Big bleed post minor head trauma. Acute on chronic subdural. Beware the ETOH abuser with head trauma!!
  5. ARDS net. The results of this NEJM study are amazing. But you must use predicted body weight. August emrap-cc edition is all about it!!
  6. Working on EMRAP-CC edition for August. Ventilator Mx. lots of modes - but I will try and summarize and simplify! www.emrapcc.com
  7. In this months EM news is an article by Jim Roberts on Brugada syndrome. It is great and give props to Amal Mattu. Read it. Nice work.
  8. 88 year old male. Liver ca. Stroke in MCA territory. Recent biopsy. Blood transfusion yesterday. would you give TPA?
  9. Do you think that doing tests in general reduces or increases your chance of a law suit? Our experts say they INCREASE your risk!
  10. Putting together EMRAP July. Bouncebacks this month has Jerry Hoffman and Greg Henry doing a GREAT JOB on the philosophy of expectations!
  11. Seems split on IO vs cordis. Another patient 20foot fall. Positive FAST no access agin we are faced with the question. IO or central
  12. In resus at county. BIG GI bleeder. So what about access central line cordis versus IO. Hemoglobin went fom 14 to 8.
  13. The talks on Education and Arrhythmias are available at www.emonmp3.com/public from the CAPE and Kaiser conference
  14. I am playing with 3.0 now. The landscape typing in email alone is HUGE. And cut and paste is the GREATEST!!!
  15. The latest EMRAP Critical Care Edition is posted at www.emrapcc.com. Care of the intubated patient and crashing intubated patient! PEARLS!!
  16. Working on EMRAP July. Jerry Hoffman, Greg Henry etc are doing bouncebacks this month. Have you ever given antibiotics not indicated?
  17. Just got a RANT from Al Sacchetti. It will be on the July EMRAP. A child with a cough - mom - is worried - you are not! Who is right!
  18. So that NNT was 125. Huge. In many patients thrombolyics are not worth the risk! On flight to LA. Obese people on flights is a real issue!!
  19. In general what is the number needed to treat in an inferior mi with tpa to save one life?
  20. Just finished my talks atCAPE what a great group. Very smart and friendly. Makes me inspired to do more education stuff!!