Push-dose pressors for immediate blood pressure control

Response to: “Medication errors with push dose pressors in the emergency department and intensive care units

This iconic movie line neatly sums up the recent article by Acquisto, Bodkin, and Johnstone, “Medication errors with push dose pressors in the emergency department (ED) and intensive care units (ICU)” [1]. The authors open with a case where a physician ordered “50” of phenylephrine, intending 50 mcg to be given, and instead 50 mg was given, owing to the incomplete order. In another case a physi...

The authors respond: "Medication errors with push dose pressors in the emergency department and intensive care units.

Medical Direction and Practices Board WHITE PAPER Use of Pressors in Pre-Hospital Medicine: Proper Indication and State of the Science Regarding Proper Choice of Pressor

The key to “best practice” rests in understanding that low blood pressure is merely one manifestation of poor perfusion, but it is not the sole finding in shock. Some patients are in shock, despite what appears to be normal blood pressure. Children and young adults are classic examples of patients who do not initially drop their blood pressure when they first fall into shock. Hypotension in adu...

Efficacy of High Dose Vitamin D on Pulmonary Artery Pressure in Thalassemia Patients Undergoing Blood Transfusion: A Randomized Trial

Background: Pulmonary arterial hypertension (PAH) may result in cardiomyopathy which is a major cause of death in thalassemia patients. Vitamin D is associated with benefits in cardiovascular disorders. Our purpose was to study effects of vitamin D on pulmonary artery pressure in thalassemia major and intermedia patients. Materials and Methods: This randomized trial was performed on 26 patient...

The Effects of Dr Kamkar’s Herbal Cream in Healing Stage One to Third Pressure Ulcer

Background: Pressure ulcers are among the most serious skin and tissue disorders and put a heavy financial burden on healthcare systems. These ulcers break through the body’s first line of defense and can lead to severe consequences such as septicemia and death. Nowadays, most conventional treatments are very costly; therefore, the production of less expensive medications including herbal remed...