Practice Changers

What were your practice changers in 2016? For me, it was Reuben Strayer's simple phrase for when to give epinephrine in allergic reaction patients: For A, B, or C,  give E. If there is involvement of airway, breathing ,or circulation, give epi. It seems simple when it's spelled out this way, but there can be a lot of hemming and hawing when deciding to give (or not to give) this drug. The other, less clinical, pearl is something learned from former Google engineer Chade-Meng Tang: pick two random people and think, "I hope that person is happy." That's it, just think it, don't have to do anything else. The results are astounding. Now let's hear what our guest panel has to say about what changed their practices in 2016....   Simon Carley @EMManchester ALTE is now BRUE Nitrous oxide can cause spinal cord degeneration Impact Brain Apnea   Michelle Lin @M_Lin Uses isopropyl alcohol to treat nausea and vomiting   Lauren Westafer @LWestafer Elevates the head of the bed to 30-45 degrees