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Journal Feed covers pediatric intranasal midazolam dosing, 0/1 vs. 0/3 hour troponin pathways, and a provider in triage model.

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    Articles

    The EM Educator Series: Why is my burn patient so sick?

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    Welcome back to the EM Educator Series. These posts provide brief mini-cases followed by key questions to consider while working. The featured questions provide important learning points for those working with you, as well as vital items to consider in the evaluation and management of the specific condition discussed. This
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    Pain Profiles: Intravenous Lidocaine for Intractable Renal Colic Unresponsive to Standard Therapy

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    emDocs is proud to present a new series by Dr. David Cisewski evaluating pain management in the emergency department. One of our most important roles in the ED is not only resuscitation and risk stratification, but treating pain. This series is here to help! Today's post evaluates the use of
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    • EM MINDSET, perspectives

    EM Collective Wisdom: Daniel Egan

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    Welcome back to the EM Collective Wisdom series. This series asks star emergency physicians key questions concerning their successes, failures, and impact in EM. Today we have thoughts from Dr. Daniel Egan.
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    • practice updates

    Hemorrhagic Shock: Pearls and Pitfalls for the Resuscitation Room

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    How can we optimize our care of patients in hemorrhagic shock? This post from Anthony DeVivo and Jenny Beck-Esmay provide you with key pearls and pitfalls in the evaluation and management of the patient with hemorrhagic shock.
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    EM@3AM: Acute COPD Exacerbation

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    A 58-year-old male presents with severe shortness of breath, productive cough, and decreased ability to ambulate at home. He has COPD and is on oxygen at home. Several days ago he noted worsening congestion, myalgias, and cough. He is now severely short of breath and unable to complete his activities
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    The EM Educator Series: Bleeding until proven otherwise…

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    Welcome back to the EM Educator Series. These posts provide brief mini-cases followed by key questions to consider while working. The featured questions provide important learning points for those working with you, as well as vital items to consider in the evaluation and management of the specific condition discussed. This
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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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