Stress testing: a beginner’s guide Author: Jason Brown, Capt, USAF, MD (EM Resident Physician, University of Maryland) // Editor: Alex Koyfman, MD Stress tests are aptly named in that the goal is to cause a physiologic stress and to, through a variety of modalities, detect that stress’ impact on the myocardium. There are three major […]

practice update

Posterior Stroke, HiNTS exam

January 22, 2015 Jason Brown Leave a comment

Author: Jason Brown, MD (EM Resident Physician, University of Maryland) // Editor: Alex Koyfman, MD Background Posterior strokes make up 1 in every 5 ischemic strokes in the US. That equates to about 150,000 strokes per year involving the posterior circulation with an incidence of 18/100,000. Bottom line: This is a common, emergent diagnosis that […]

FOAMed, practice update, ultrasound

Nephrolithiasis: Diagnosis and Management in the ED

January 22, 2015 Subhanir Chitnis Leave a comment

Authors: Subhanir Sunil Chitnis, MD, Dawn Kabba, MD (EM Resident Physicians, Rutgers NJMS) and Miriam Kulkarni, MD (EM Attending Physician, Rutgers NJMS) // Editor: Alex Koyfman, MD & Justin Bright, MD Introduction Calcium oxalate (and to some degree calcium phosphate) stones account for 80% of all kidney stones Remaining stones are uric acid (10%), struvite […]

practice update

Management of Acute Respiratory Distress in a Tracheostomy Patient

January 21, 2015 Greg Nabers Leave a comment

Scenario: You receive a call from EMS stating they are on the way to your emergency department with a 60 year-old male in acute respiratory distress. VS: HR 105, RR 30, BP 126/68, SpO2 83%. No further information is provided.

The patient arrives, awake, alert and oriented in visible respiratory distress and to your surprise has a tracheostomy in place! How does this change your management? […]

practice update