Intranasal medications, if understood and employed properly, are a great choice to avoid an IV or as a bridge until IV access is obtained. Learn the strengths and limits of intranasal fentanyl, midazolam, ketamine, and dexmedetomidine.
It is essential for Emergency Physicians to know the standard of care for sexually transmitted infection (STI) treatments, as patients often present to Emergency Departments for evaluation and treatment shortly after exposure to these diseases. The Emergency Department provides patients with rapid screening, diagnosis, treatment regimens, and access to outpatient follow up.
Recognizing the importance of patient disposition, the factors associated with poor outcomes, and how we can improve the care of our patients.
The role of palliative medicine in emergency care has received increasing attention since ACEP’s decision in February of 2013 to join the American Board of Internal Medicine (ABIM) Foundation’s Choosing Wisely ® initiative. In an effort to maintain (and potentially improve) quality of care whil...
You are working as an EM resident and have just evaluated a patient with a right long finger DIP joint dislocation. You perform a digital nerve block with 1% lidocaine with 1:100,000 epinephrine, and go to present to your attending before attempting the reduction. Your attending, on hearing about th...
Cholangitis should be considered in patients with undifferentiated sepsis. Ruling in or out the diagnosis of cholangitis is no longer based on clinical exam alone. The addition of imaging and bloodwork to the clinical exam are much more reliable. Resuscitation, antibiotics and consultation for early biliary decompression are the mainstays of cholangitis treatment.
Important pearls to consider when working up unilateral facial weakness as Bell's Palsy or perhaps another more dangerous and hidden pathology
Remember that patient you had with a week of sore throat and fatigue who presented with new left upper abdominal pain? Splenic infarction isn't such a rare entity in mononucleosis... This post is full of pearls and pitfalls in the diagnosis and management of splenic infarction in mono.
