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The Emergency Department Management of Posterior Epistaxis

On first glance, you observe active bleeding from the bilateral nares. Direct pressure has obtained hemostasis. What is your next step? Topical vasoconstrictors? Nasal packing? Can this patient go home, or does he need to be admitted? Let’s discuss a few key points about the management of posterior epistaxis.

practice updates

Managing a Massive Hemothorax: A Guide to Stabilizing Your Patient

A hemothorax most commonly occurs secondary to penetrating or blunt chest wall trauma, with up to 70-80% of hemothoraces due to motor vehicle collisions. These injuries can cause rapid decompensation, but diagnosis and management isn't always easy. This post is filled with pearls and pitfalls in diagnosis and management of massive hemothorax.

practice updates

Seizures in the First Year of Life

Diagnosing seizures in young children can be difficult and even more so in those under the age of one year. This is a brief review of the evaluation and treatment of both febrile and afebrile seizures in those under the age of one year in the emergency department.

practice updates

HEENT: Tips for Addressing Your Next Procedure

Before performing your next HEENT procedure in the emergency department, consult this comprehensive description and tutorial that covers a wide range of diagnoses and indications, from mandibular dislocation reduction to nasal septal hematoma drainage. Never call your ENT consult again!