The HEART score and pathway have revolutionized evaluation of the chest pain patient in the ED. This pathway can reduce risk of missed major cardiovascular event to < 1%. Many centers utilize the HEART pathway; however, do the score and pathway have a weakness?
Hydrofluoric acid…We have heard of the dangers of this toxic acid, but many have not evaluated and managed patients with HF exposure. This post details a case, followed by pearls and pitfalls in the pathophysiology, types of exposure, evaluation, and management of HF exposure.
Having difficulty determining whether or not your GI bleeder is stable for the floor? Read on as we discuss risk stratification tools and risk factors for severe GI bleeds.
Human trafficking is a widespread problem in the US and emergency medicine physicians should be aware of how to recognize potential victims.
Tachypnea is defined as rapid breathing noted on clinical presentation. This finding can signify the presence of a dangerous condition, and this post evaluates the etiologies, evaluation, and management of the tachypneic patient in the ED. Are you missing something with tachypnea in the ED?
Welcome to Part 2 of the two-part series on surgical emergencies. This series discusses “cannot miss” diagnoses that require emergent surgical intervention. Today we discuss necrotizing fasciitis, testicular torsion, and ovarian torsion.
Managing Sexual Assault in the Emergency Department
This review will address patient stabilization, provide recommendations for obtaining a medical and assault history, and detail pregnancy and sexually transmitted infection prophylaxis. An in-depth discussion of the forensic examination will be omitted, as requirements regarding healthcare provider training, tools contained within forensic collection kits, time allotted between alleged assault and court admissible evidence collection, and chain of custody legislation vary according to individual state law.
Need a quick refresher on how to address a suicidal patient? This article offers key tips and tricks for your emergency department evaluation and management.