recent articles

practice updates

Can’t Miss Surgical Emergencies – Part 2

Welcome to Part 2 of the two-part series on surgical emergencies. This series discusses “cannot miss” diagnoses that require emergent surgical intervention. Today we discuss necrotizing fasciitis, testicular torsion, and ovarian torsion.

practice updates

Pelvic Inflammatory Disease: Pearls and Pitfalls

Pelvic Inflammatory Disease (PID) is an important complication of sexually transmitted diseases. Adequate treatment is important to prevent complications such as infertility and systemic disease. This is a brief overview of PID , its workup and management in the emergency department.

practice updates

DIC in the ED: What can you do about it?

Disseminated Intravascular Coagulation (DIC) is a serious complication of some critical illnesses. Patients are very ill and can present with a multitude of symptoms. While treatment of the underlying illness is key, there are some key interventions that can be initiated in the emergency department (ED). This is a brief review of the the underlying pathophysiology of DIC and the interventions that can be initiated in the ED.

practice updates

Brain Abscess: Pearls and Pitfalls

What do you think of with the patient presenting with fever, headache, and focal neurologic signs? Meningitis? Encephalitis? What about brain abscess? This post is filled with pearls and pitfalls on the pathogenesis, presentation, diagnosis, and treatment of brain abscess.


Pneumonia Mimics: Pearls and Pitfalls

Pneumonia is an illness frequently seen in our emergency departments. But, are all presentations actually pneumonia? Are we missing other illnesses that present similarly to pneumonia? Which ones pose significant morbidity and mortality risk to our patients? What clues are out there that will aid us in making an alternative and critical diagnosis?

In the Literature

Blood cultures: when do they make a meaningful impact on clinical care?

Bacteremia affects 200,000 patients per year, with the potential of causing significant mortality. Blood cultures are considered the most sensitive method for detecting bacteremia and are commonly obtained in patients with fever, chills, leukocytosis, focal infections, sepsis, or suspected endocarditis. However, what is the literature behind obtaining cultures in the ED?