recent articles


EM@3AM: Epistaxis

A 62-year-old male presents holding a bloody wash cloth pinched over his nose spitting blood into a coffee mug.  His wife walks in behind him with a grocery bag full of medications.  Among them you recognize a common blood thinner. What is the diagnosis, and what are your next steps?

practice updates

Strep Throat Mimics: Pearls & Pitfalls

Pharyngitis accounts for a large number of Emergency Department and Urgent Care visits each year. The majority of cases are due to a viral etiology, and Group A Beta-hemolytic streptococcus accounts for 15% to 30% of cases. However, a wide array of diseases may present similarly, with several of these potentially life-threatening. This post looks at these mimics and more.

practice updates

Facial Nerve Blocks

The patient with facial pain/injury can present significant challenges for analgesia. Facial nerve blocks present an avenue for great analgesia without compromising wound appearance/repair. What are the pearls and pitfalls for these blocks?

practice updates

Acute Visual Loss in the Emergency Department: Pearls and Pitfalls

Acute vision loss has a wide differential, and some of these conditions can cause permanent visual deficit. Many of these are time-sensitive, and the emergency physician may improve patient outcome through the consideration of several acute conditions. This post seeks to provide an overview of the evaluation of vision loss in the ED and a summary of several common conditions.

practice updates


Acute Mastoiditis is the most common complication of AOM – how do you diagnose it and how does the ENT physician manage it?

practice updates

Acute Mastoiditis: Pearls and Pitfalls

Acute mastoiditis is a common complication of acute otitis media. Diagnosis includes clinical evidence of mastoid inflammation and may necessitate further imaging to exclude other complications. IV antibiotics and a surgical consult are required.