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ECG Pointers: STEMI Case Conference

ECG Pointers walks through a STEMI case conference with angiographies.

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    • practice updates

    Caring for Vulnerable Patient Populations with Limited Resources

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    Emergency departments cater to patients from all walks of life, some living under better circumstances than others. For those patients enduring difficulties outside the ED that are often unseen, here is a primer to raise that awareness and also encourage strategies to better care for these patients.
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    • practice updates

    Strep Throat Mimics: Pearls & Pitfalls

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    Pharyngitis accounts for a large number of Emergency Department and Urgent Care visits each year. The majority of cases are due to a viral etiology, and Group A Beta-hemolytic streptococcus accounts for 15% to 30% of cases. However, a wide array of diseases may present similarly, with several of these
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    • practice updates

    Transplant Emergencies Part I: Infection, Rejection, and Medication Effects

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    Organ transplantation is becoming increasingly common. These patients present a challenge to emergency physicians as they are on immunosuppressive medications and have anatomic and physiologic variations. Transplant patients are at risk for a number of complications including infection, medication effects, rejection and complications specific to the transplanted organ.
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    Seizures in the First Year of Life

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    Diagnosing seizures in young children can be difficult and even more so in those under the age of one year. This is a brief review of the evaluation and treatment of both febrile and afebrile seizures in those under the age of one year in the emergency department.
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    FOAMed Resource Series Part II: Ultrasound

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    FOAMed has revolutionized medical education. This is the second part of a multipart series evaluating FOAMed resources for learners of all levels. Today’s post covers ultrasound, an essential tool in emergency medicine.
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    “Dementia” in the emergency department: can you do anything about it?

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    Dementia versus delirium is an age old question in emergency medicine. Many studies have been conducted seeking a means of differentiation. First, is there a way to differentiate, and second, is dementia always irreversible? Dementia is often thought to be due to a chronic disease, but studies suggest 20-30% of
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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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