Rheumatoid arthritis is a progressive systemic polyarticular inflammatory arthritis of unclear etiology. While the disease itself is not fatal, complications of the disease make it the most common rheumatic disease requiring ICU admission. This article covers the management of this disease and its complications in the ED.
All physicians are teachers. However, becoming a great teacher does not occur overnight, and in the stressful setting of the ED, it can be difficult to educate those around you. This part of the FOAMed series looks at resources geared towards education and simulation.
Patients with chronic liver disease typically have elevated INRs and thromocytopenia. Thus, clinicians may believe that blood clots are not possible in this patient group. This is a brief review of hemostasis in liver disease and why blood clots can occur even with low platelet counts and elevated INRs.
Suprapubic catheters are a more invasive type of catheter that have specific indications. Patients typically have these long-term and may present to the emergency department with complications related to their catheters. This is a brief overview of some complications of suprapubic catheters and how to manage them.
Systemic lupus erythematosus is a chronic inflammatory disease of unknown cause with multi-organ involvement. The disease causes uncontrolled activation of the immune system with widespread inflammation manifested by vague and varied symptoms. A variety of organ systems are affected. This post evaluates the evaluation and management of the lupus patient in the ED.
Intubation is an important intervention in the ED. We see a critical or impending airway problem and we secure the airway with intubation–very satisfying! Yet our job does not stop there. In addition to maintaining an appropriate ventilation strategy after intubation, it is crucial that we use appropriate post-intubation sedation and analgesia regimens for the continued care of these critical patients. This post will review sedation and analgesia regimens for different clinical scenarios after intubation, as well as some common pitfalls that we must be diligent to avoid.
Hemoptysis is defined as expectoration of blood originating from the tracheobronchial tree or lung parenchyma. It may be massive or non-massive, but the majority of patients with hemoptysis will have non-massive hemoptysis. This is a brief overview of the causes, evaluation and management of hemoptysis in the emergency department.
Sepsis is a condition emergency providers manage daily and has the potential for high morbidity and mortality. Sepsis management requires rapid diagnosis, early administration of intravenous (IV) fluids with broad-spectrum antimicrobials, and source control. But what is the role for steroids in sepsis? What are the potential benefits and risks? This post will explore the evidence surrounding corticosteroids in sepsis management to help shed some light on this controversial topic.