Abdominal compartment syndrome (ACS) has come to the forefront of emergency medicine, critical care, and resuscitation literature. Why does this condition occur, how is it diagnosed, and what can you do if you suspect ACS? This post provides a comprehensive review of ACS.
This review article focuses on 5 under recognized high-risk ECG patterns in the ACS patient that result in poor outcomes including malignant dysrhythmias, higher rates of cardiogenic shock, and death.
The London Helicopter Emergency Medical Service (London HEMS), also known as London’s Air Ambulance (LAA), is a physician-based urban trauma service that provides advanced prehospital care twenty-four hours per day. It is unique in that it brings the resuscitation bay to the field and can perform cutting-edge life-saving procedures in the prehospital environment. Some of these procedures include advanced peripheral line placement, thoracostomy, resuscitative thoracotomy, surgical cricothryroidotomy, ultrasound evaluation, fracture reduction, rapid sequence intubation, and transfusion of blood products. This article reviews a few of these procedures and discusses the unique aspect of London’s EMS system.
Does your ED have an observation unit? Thinking of creating one? What patients are appropriate for the obs unit? This post is filled with pearls and pitfalls for observation unit use for the ED.
A commonly ordered test in the ED is the coagulation panel. What does this panel entail? Is there any evidence behind it for ED use? When should it be ordered? This post provides these answers and more.
Emergency physicians frequently use procedural sedation and analgesia (PSA) to ensure a more comfortable procedure for both the patient and the physician. However, errors are also frequent. This article addresses the most frequent PSA errors them and provides solutions to improve patient care.
Every provider has their own twist on the standard “headache cocktail”, but what is the evidence behind the individual medications for headache management? What about treating headaches in the pregnant or pediatric patient? This post seeks to answer these questions and more.
An LP gives providers the ability to perform CSF analysis for red blood cells and detect xanthochromia by visual inspection or spectrophotometry. In most of the world, including the United States, the predominant approach to identifying xanthochromia is visual detection. However, this technique is subjective and considered unreliable by many. Spectrophotometry is a more objective test but, has lower specificity, carries a higher cost and is unavailable in the majority of hospitals.