Category Name: practice updates

practice updates

Left Bundle Branch Block in Myocardial Infarction: An Update

Editor's note: This article was listed in the LITFL Review 154's "Best of #FOAMed" section. The left bundle branch arises from the Bundle of His, and subsequently is divided into the anterior and posterior fascicles. The anterior fascicle is usually supplied by septal perforators from the Left Anter...

practice updates

How To Be A Clinical Rock Star Managing Subarachnoid Hemorrhages

A New Way to Think About Subarachnoid Hemorrhage: It is helpful to remember that while a subarachnoid hemorrhage is in fact a “bleed”, it is also a stroke.  When compared to ischemic strokes, hemorrhagic strokes tend to have an increased risk death in the acute phase, but for those patients ...

practice updates

Ventilator Management in COPD

Editor's note: This post was listed in the #FOAMED Review (17th Ed.) from EM Curious. It ALSO appeared in LITFL Review 154's "Best of #FOAMcc Critical Care" section. Its 7:01am.  Your shift in your department’s high acuity area is just beginning, and you are waiting to receive sign out.  There ...

practice updates

Outpatient PE treatment

Editor's note: This post was listed in the LITFL Review 153's "Best of #FOAMed" category. Venous thromboembolism (VTE) (deep vein thrombosis or pulmonary embolism) has an incidence of roughly 1 in 1,000 with an incidence of PE with or without DVT of 2.3 per 10,000. One major factor to consider is ...

practice updates

Ultrasound for Pediatric Skull Fractures

Diagnose important traumatic injuries quickly, avoid unnecessary ionizing radiation in kids, and do so with an extremely easy ultrasound application to learn. Moreover, skull fracture found to be more predictive than scalp swelling or vomiting for traumatic brain injury, increasing likelihood by 4-fold to 20-fold.

practice updates

Intern Report Collection, Vol. 3

Our ongoing intern report series is the product of first-year EM residents at UT Southwestern exploring clinical questions they have found to be particularly intriguing. For med students & junior residents - if you haven't encountered these issues yet, you will! A Case of Elevated BP by Benjamin Tr...