Top emDOCs Posts of 2021

Authors: Brit Long, MD (@long_brit – EM Attending Physician, San Antonio, TX); Manpreet Singh, MD (@MPrizzleER – Assistant Professor of Emergency Medicine / Department of Emergency Medicine – Harbor-UCLA Medical Center); and Alex Koyfman, MD (@EMHighAK – EM Attending Physician, UT Southwestern Medical Center / Parkland Memorial Hospital) 

Thank you for everything you do! Despite all the difficulties, we have the awesome privilege of caring for patients no matter what. You are heroes!

Thank you as well for your support of our site and podcast this past year. We cannot do what we do without your views, feedback, and assistance. This last year saw several amazing posts and resources.

Now, without further ado, here is our list of top posts from 2021 based on viewership from you, the readers:

Lactated Ringers versus Normal Saline: Myths and Pearls in the ED

This post from Gabrielle Leonard and Aaron Lacy evaluates the continuous debate of LR vs. NS, as well as pearls and pitfalls in their use. You don’t want to miss this one!

Evaluation and Management of Hematuria in the Emergency Department

Taylor Goller and Sarah Klemencic look at the presentation, diagnosis, and management of hematuria in the ED.

Syncope in the ED: Who can go home?

We are experts in evaluating and managing the patient with syncope, but who can be discharged safely from the ED? Aaron Blau and Richard Bounds provide you with pearls and pitfalls, as well as a look at the most recent risk scores.

Ostomy complications: ED presentations, complications, and management

Ostomies can have several complications. Jonathan Bornstein, Jennifer Liao, Marzena Sroczynski, and Carlos Rodriguez provide you with key points concerning the care of ostomies in the ED.

Tympanic Membrane Rupture

Tympanic membrane rupture can cause significant morbidity. What do you need to consider in evaluating and managing these patients?

Oliguria and Anuria: ED Presentations, Evaluation, and Management

Daniel Weidner and Michael Yoo cover the differential and etiologies, evaluation, and management of oliguria and anuria.

Pulmonary Hypertension: ED Presentation, Evaluation, and Management

Pulmonary hypertension is extremely challenging, and a mistake in the evaluation or management can result in patient harm. Rachel Bridwell covers what you need to expertly handle these patients in the ED.

Evidence-based Approach to Nailbed Injuries: ED Presentations, Evaluation, and Management

Erik Sherman and Chin He look at the potentially challenging nailbed injury. How should you examine these patients, and when should you consider trephination or other nailbed repairs?

Small Talk – Hot Off The Presses: The Latest AAP Guidelines for the Febrile Neonate

The American Academy of Pediatrics updated their guidelines concerning the evaluation and management of the febrile neonate this year. Nathaniel White, Michele McDaniel, and Joe Ravera provide you with the key takeaways that change our practice.

Anemia in the ED Setting: Pearls and Pitfalls

We routinely see patients with anemia in the ED. This post from Brandon Carius looks at the ED evaluation and management for these patients.

Stay tuned for 2022! We have more exciting posts and changes that will improve your practice of EM!