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ToxCard: Arsenic Toxicity

When should you consider arsenic toxicity, and how do you treat it?

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Articles

Buprenorphine Precipitated Opioid Withdrawal: Tips for Prevention and Management for the Emergency Clinician

January 31, 2022
Tony Spadaro
No Comments

We are proud to introduce our Essentials of Emergency Medicine winning post: Buprenorphine Precipitated Opioid Withdrawal!

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em@3am

EM@3AM: Tetanus

January 29, 2022
Christopher J. Nelson
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A 38-year-old male with a history of injection drug use presents with one day of progressively worsening, pressure-like chest pain radiating to his back. He appears diaphoretic and in moderate distress. He has had new difficulty opening his mouth. On exam, he is tachycardic, diaphoretic, and in acute distress. He

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Ultrasound G.E.L.

Ultrasound G.E.L. – The Venous Excess Ultrasound Grading System & Acute Kidney Injury

January 28, 2022
Michael Prats
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You may have heard whispers of a magical new way to determine if your patient has too much fluid on board. The VExuS (Venous Excess UltraSound) grading system has been described as a way to use the IVC in combination with abdominal organ doppler in order to determine the degree

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EM Educator

The EM Educator Series: Cavernous Sinus Thrombosis

January 26, 2022
Alex Koyfman
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The EM Educator series looks at a patient with headache and vision changes.

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Endocarditis: Why do we miss it, and how do we improve?

January 24, 2022
Adrianna Long
One Comment

When should we suspect endocarditis, and how can we improve our diagnosis?

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In the Literature

Journal Feed Weekly Wrap-Up

January 22, 2022
Clay Smith
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Clay Smith brings you HFNC for COVID-19, nebulized ketamine for analgesia, and long term outcomes for those with appendicitis treated with antibiotics alone.

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Acute heart failure exacerbation disposition

Not all patients require admission

Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up

Elevated troponin and serum Cr associated with worse outcomes

Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)

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