Interventional radiology's role in evaluation and management of medical and traumatic conditions is growing... When can this specialty assist us in the ED?
This week Clay covers TXA in GI Bleed with the HALT-IT trial, silent hypoxemia in COVID-19, and syncope in PE.
From its inception in the 1970s, there has been continued evolution in how we approach RSI (and airway management in general) in the physiologically threatened patient – this post will focus on the trauma patient.
The emDocs.net Podcast looks at diagnosing cardiogenic shock, prostatitis, cardiac stent thrombosis, and CVC lines.
Evidence suggests patients with COVID-19 are at risk of thromboses and coagulopathy. Up to now, there has not been an established set of clear guidelines. This post discusses the CHEST guideline and expert panel report on prevention, diagnosis, and treatment of VTE in these patients.
COVID is resurging, but what can we miss? What can mimic COVID-19?
A 28-year-old male presents to the ED with right shoulder pain after falling on an outstretched arm two hours earlier. He denies history of prior shoulder injuries. On exam, he is holding his right upper extremity in adduction and internal rotation at the shoulder. He is unable to externally rotate his shoulder due to pain, and you note prominence to the posterior shoulder on exam. What is the patient’s diagnosis? What’s the next step in your evaluation and treatment?
Is there an ideal time to place a tracheostomy? What factors might influence my decision to proceed with an open versus percutaneous tracheostomy?
