Category Name: practice updates

practice updates

The Sick Neonate

Rapid evaluation and management of the sick neonate is a required skill for the emergency physician. Here we present a brief but comprehensive strategy for resuscitating and stabilizing the critically ill neonate as well as some mnemonics for help remembering the differential diagnosis.

practice updates

Amiodarone vs Procainamide for Stable VT

Case Scenario: A 38-year-old male with a history of hypertension and an unknown heart defect status post repair in infancy presents to the Emergency Department with acute onset chest pain, dyspnea, and diaphoresis.  He had a similar episode at another hospital 1 month prior that resolved after "so...

practice updates

Spinal Epidural Abscess

"Once the classic symptoms appear and a definitive diagnosis is made, the very symptoms we look for have often become irreversible" Spinal epidural abscess is an extremely rare diagnosis but a potentially devastating one. It has proven to be a difficult ER diagnosis. Unfortunately, once the ...

practice updates

Beta Blockers in Sepsis

"Beta blockers may improve hemodynamics, organ preservation, pressor requirements, and mortality"Is there a role for beta blockade in septic patients? It seems counterintuitive, but Cynthia Santos, MD presents some recent literature suggesting a benefit in an ICU setting.

practice updates

Thyroid Storm Management

A review of the presentation, diagnosis, and management of this rare but deadly condition in the ED by Justin Arndt, MD.

practice updates

Pediatric Syncope

"The key to the ED evaluation of pediatric syncope is using the history, physical, and ECG to exclude serious pathology"Great review of pediatric syncope from Zach Radwine, MD, including red flags, an extensive differential, and normal vs. abnormal peds ECG findings.

practice updates

mHealth: Can text message based education lower Hb A1C?

"Programs like TExT-MED represent a powerful opportunity to expand the domain of emergency medicine"Can texting reminders to ED patients with diabetes improve their A1C? Scott Kobner discusses the recent TExT-MED trial from June 2014 Annals of EM.

practice updates

Be Skeptical… EM Myths and Their Evidence

"There are few hard truths in our field, even in this age of evidence-based practice" Widely-held and taught ideas whose time has passed: Here are eight (!) EM myths from Ryan Dietert, MD.