recent articles

practice updates

Acute Valvular Emergencies: Pearls and Pitfalls

The patient with acute valvular emergency can be terrifying. These patients may rapidly decompensate, and the physiology and management are complex. What can you do to prepare? This post provides pearls and pitfalls in the evaluation and management of patients with acute valvular emergency. You may be surprised what you read...

practice updates

Approach to Tachypnea in the ED Setting

Tachypnea is defined as rapid breathing noted on clinical presentation. This finding can signify the presence of a dangerous condition, and this post evaluates the etiologies, evaluation, and management of the tachypneic patient in the ED. Are you missing something with tachypnea in the ED?

practice updates

Tachycardic Arrhythmias in Pregnancy: Management

Cardiac arrhythmias are not common in pregnancy, but they can occur. While the workup and management is quite similar to the non-pregnant patient, there are subtle differences. This is a brief review of the ED management of unstable and stable tachycardic arrhythmias in pregnancy.

practice updates

BNP Level in the Emergency Department: Does it Change Management?

BNP (Brain Natriuretic Peptide) is a commonly used biomarker for detecting heart failure in the emergency department. It's levels can be affected by various extraneous factors such as obesity and renal failure. This article reviews the potential uses of BNP, including its pros and cons, in the emergency department.

practice updates

Updates on TIA

The transient ischemic attack (TIA) places patients at high risk for future stroke. This article reviews the current literature on the diagnosis, management and disposition of patients with TIA. The use of observation and TIA clinics is also discussed.