recent articles

practice updates

Interstitial Lung Diseases: Evaluating for an Acute Exacerbation

Interstitial lung disease refers to parenchymal and interstitial inflammation and fibrosis, and acute exacerbation can cause significant morbidity and mortality. Many conditions are associated with this, including those with an underlying systemic disorder, those with a known trigger, and those that are idiopathic in nature. This post provides key points on evaluation and management of ILD in the emergency department.

practice updates

The Thromboelastogram (TEG®): A Five-Minute Primer for the Emergency Physician

Thromboelastography is a mechanism of assessing coagulation based upon the viscoelastic properties of whole blood, and when compared to other coagulation assessments, this test allows for an assessment of near real-time, in-vivo clotting capacity. The point-of-care assay, which uses graphic interpretation of thromboelastography (the TEG), offers the opportunity for an expedited assessment of coagulopathies (thrombocytopenia, factor deficiency, heparin effect, hypofibrinogenemia, and hyperfibrinolysis). How can you use this modality in the ED? This post is full of pearls on interpreting TEG.

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Managing Sexual Assault in the Emergency Department

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.