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One of the newest drugs available to some EM provider is Sugammadex. Trade name, Bridion, the drug functions as a reversal agent for Rocuronium. An IV bolus of 16 mg/kg over 10 seconds via a central or peripheral line will reverse a single 1.2 mg/kg dose of rocuronium in approximately 3 minutes. Although rarely used in the emergent setting, keep the dose in the back of your mind or reference on the WikEM app just incase you need to order it.… Read more
Neonatal jaundice is one of the most common reason for newborns to return the hospital. There are many risk factors and causes, with the most important piece of the workup being distinguishing direct vs indirect hyperbilirubinemia. Direct hyperbilirubinemia points towards a usually benign cause with breast feeding, breast milk and physiologic jaundice being the most common causes and present within the first 4-7 days of life. Useful tools for risk stratification include the Bilitool for evaluating need for phototherapy.… Read more
