recent articles


EM@3AM – Hyperemesis Gravidarum

A 32-year-old G2P1 at 7 weeks presents with weight loss, nausea, and vomiting, sent by her primary care physician. She has ketones present, and she has lost 8 lbs. Read this week's EM@3AM for more on hyperemesis gravidarum.

practice updates

In Vitro Fertilization Patient and ED presentations: Pearls and Pitfalls

Assisted Reproductive Technologies (ART) allows for gamete manipulation outside the body and includes in vitro fertilization (IVF). ART is gaining in popularity. These patients are monitored closely by a gynecologist, however certain dangerous illnesses may bring these patients to the emergency department. This post will review the basics of ART and its complications.

practice updates

The Complicated Delivery: What do you do?

Deliveries that occur in the emergency department are high-risk and high-stress situations. ED OB patients often have little or no prenatal care, and ED births have a higher perinatal mortality. The emergency provider needs to expect the unexpected, including precipitous delivery, shoulder dystocia, malpresentation, umbilical cord emergencies, hemorrhage, and multiple gestations. In this post, we explore what to do in these dangerous situations.