Category Name: practice updates

practice updates

Thrombocytopenia: An ED Approach

For the patients when you either suspect thrombocytopenia based on exam/history or when the CBC returns with a surprisingly low platelet count...

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...

practice updates

TXA Use in Trauma: An Update

As Emergency Physicians, we are always looking for ways to improve the care we provide to our patients. Based on clinical data which have come to light over the past several years, tranexamic acid (TXA) displays considerable promise toward reducing mortality in hemorrhagic trauma. It’s widely avai...

practice updates

The Evaluation of Occult Subarachnoid Hemorrhage: Why Are We Still Doing LPs? Is CTA A Better Alternative?

It’s 4pm on a Wednesday. As per usual, the chart rack is full, and you’re trying to stay positive and keep up morale of the entire team. You pick up your next chart, and as you read the chief complaint, your heart sinks into your belly. The complaint is, “severe headache,” and you’re alrea...

practice updates

EM Mindset: Bob Stuntz – Developing the EM Mindset

Whether we are working with a medical student, an off-service resident, or even one of our own, most of us involved in the education of emergency medicine have described the mindset of emergency medicine as different from most other specialties. But are we really unique in our approach to patient care and how we think? And if so, can one develop this “EM Mindset?” [...]

practice updates

Transesophageal Echocardiography in Cardiac Arrest

What if there was a way to better visualize the heart during cardiac arrest? What if you could see something on the ultrasound screen that triggered a specific, critical, and time-sensitive intervention? According to the 2008 ACEP Ultrasound Guidelines, as well as Matt and Mike from the Ultrasound podcast, that emerging emergency ultrasound application is…

practice updates

Pediatric Cardiogenic Shock

Pediatric cardiogenic shock is an often insidious phenomenon with presentations requiring a broad differential diagnosis. Even after narrowing the diagnosis to cardiogenic shock, the list of possible etiologies is vast and the cause important to determine because the source of the shock will respond differently to different treatments.

practice updates

Roc Rocks and Sux Sucks! Why Rocuronium is the Agent of Choice for RSI

I recently had the pleasure of engaging in a point-counterpoint discussion on the optimal agent for Rapid Sequence Intubation with Billy Mallon at Essentials of Emergency Medicine 2014. I took the pro-rocuronium side. For decades, succinylcholine (suxamethonium) was the paralytic agent of choice (a...