Search Results for: chest pain

practice updates

What’s that Rash? An approach to dangerous rashes based on morphology

A wide range of benign and dangerous pathology can present with a rash. It is wise to develop a systematic approach to rashes in the ED, one that helps you recognize the deadly causes of rash while narrowing the differential diagnosis. Any patient with a fever plus a rash could potentially have one ...

practice updates

Troubleshooting G-tubes & J-tubes: Common scenarios / Tips & Tricks

There are many types of surgically placed feeding tubes, including both gastrostomy (G) and jejunostomy (J) tubes. Complications with these tubes are commonly seen in the emergency department and this article provides a general overview of these complications and how they can be quickly and easily managed by the emergency physician.

perspectives

Dr. Strangelove or How I Learned to Stop Worrying and Sit on the qSOFA: A pathophysiologic approach to qSOFA

The last few months have seen an enormous amount of controversy in the press, in the FOAMsphere, and in our ED hallways regarding the new consensus sepsis definition. The goal of this post is not to rehash the strengths and weaknesses of Sepsis 3, but rather to explore the pathophysiologic basis of ...

practice updates

Commonly Missed Findings on CT Abdomen/Pelvis

CT: the donut of truth. Most physicians breathe a little easier sending a patient home with a negative CT abdomen/pelvis. However, the power of x-ray vision doesn’t allow us to turn off our brains. Certain pathologies may have only subtle findings on CT, and others may lend themselves better to...

In the Literature

Post-Intubation Complications in ED Setting

We are masters of the airway, often managing life-threatening scenarios and conditions. However, the patient who decompensates around the time of intubation, or directly after the procedure, can be frightening. What can you do to mimize these events?

practice updates

10 Procedural Sedation Errors in the Emergency Department

Emergency physicians frequently use procedural sedation and analgesia (PSA) to ensure a more comfortable procedure for both the patient and the physician. However, errors are also frequent. This article addresses the most frequent PSA errors them and provides solutions to improve patient care.