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practice updates

Tachycardic Arrhythmias in Pregnancy: Management

Cardiac arrhythmias are not common in pregnancy, but they can occur. While the workup and management is quite similar to the non-pregnant patient, there are subtle differences. This is a brief review of the ED management of unstable and stable tachycardic arrhythmias in pregnancy.

practice updates

Chronic Liver Disease and Hemostasis

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.

practice updates

Hemolytic Anemias: Rare but Important Diagnosis in the Emergency Department

Hemolytic anemia is the premature destruction of RBCs, which can be classified as extrinsic or intrinsic, as well as acute or chronic. In particular, several conditions associated with these anemias can cause significant morbidity and mortality. The ED provider must focus on resuscitation, followed by recognition of the hemolytic process and initiation of appropriate therapy. This post will highlight an approach to evaluation and management of hemolytic anemias.

FOAMED

Unstable Sepsis: Airway First? Not Always

Intubation, especially in the septic and critically ill patient, can, by itself, cause hemodynamic abnormalities and/or hypoxemia and hypercapnea. In some situations, it may be important to make sure that the patient is adequately prepared for intubation, both from hemodynamic and pre-oxygenation standpoints. This is a brief review of some suggestions when intubating the very ill patient in the emergency department.

practice updates

Cavernous Sinus Thrombosis

Cavernous Sinus Thrombosis Author: Jennifer Robertson, MD (EM Attending Physician, Cleveland Clinic) // Editor: Alex Koyfman, MD Featured on #FOAMED REVIEW 30TH EDITION – Thank you to Michael Macias from emCurious for the shout out! Introduction Cavernous sinus thrombosis (CST) is a rare condition, defined as a septic thrombophlebitis of the cavernous sinus. It is caused […]

practice updates

Ectopic Pregnancy

Ectopic pregnancy is a common and potentially fatal emergency in early pregnancy. Its prevalence is about 2% in the general population, but is as high as 16% in women presenting to the emergency department with concerning symptoms. Ectopic pregnancy is a cause of pregnancy-related death and can also lead to chronic pelvic pain, need for blood transfusions, and long-term infertility. Because of the potentially devastating outcomes, it is imperative that emergency physicians diagnose ectopic pregnancy early and refer patients to the proper specialist care. [...]