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Editor's note: This article was listed in EM Curious' #FOAMed Review 19th Ed.
Quicker diagnosis (vs waiting for CT), quicker treatment (IVF, NG tube, surgery), and earlier consult/admission to Surgical team. Everyone benefits: ED flow, overburdened nurses, other patients requiring attention in the ED, and most of all, theShare this:
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- Jason Brown
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Naloxone has been proven to reduce the incident of death in acute opioid overdoses. So why aren't we using it more often?
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Editor's note: This article was listed in LITFL Review 154's "Best of #FOAMcc Critical Care" section. Using thromboelastography in goal-oriented algorithms, clinicians may be able to optimize targeted transfusion therapies with specific coagulation factor(s) instead of empirically administering multiple components with potentially hazardous effects.
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- Genine Siciliano
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Editor's note: This post was listed in both the #FOAMED Review from EM Curious AND in the LITFL Review 154 "Best of #FOAMed" section. As an EM physician, it is difficult to have working knowledge of the hundreds of different types of rashes that exist. However,
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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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