Pearls and pitfalls in managing the trauma patient and finding occult pathology: a little knowledge goes a long way
Occult Trauma: The Eyes Do Not See What the Mind Does Not Know Read More »
The first post in the new EM Primer Series…What are the pearls you need to know for myxedema?
Decompensated hypothyroidism: An EM Primer Read More »
Endophthalmitis is a rare, but clinically significant infection. It is often misdiagnosed due to the multitude of other ocular diseases that share similar presenting symptoms. It results from an infectious or non-infectious inflammatory process of the vitreous and aqueous humors. Missed or late diagnoses can have severe consequences, including permanent vision loss. The natural history of the disease thus necessitates a high degree of clinical suspicion in all patients, especially those at increased risk.
Endophthalmitis Highlights Read More »
Hemolytic uremic syndrome is a potentially deadly disease, comprised of microangiopathic hemolytic anemia (MAHA), thrombocytopenia, and acute kidney injury (AKI). This post evaluates the pathophysiology, evaluation, and management of HUS.
Hemolytic Uremic Syndrome (HUS): Pearls and Pitfalls Read More »
In 2002, a new standard of care was established when the Surviving Sepsis Campaign (SSC) highlighted the importance of recognizing sepsis and initiating treatment early. Once we find that a patient meets Systemic Inflammatory Response Syndrome (SIRS) criteria with a source of infection, rapid and appropriate treatment including resuscitation is a must. Early fluid resuscitation is necessary for septic patients, but there is large variance on the aggressiveness of fluid resuscitation. There is disagreement amongst the experts on the total amount of fluids that should be administered and the end points for resuscitation. We must ask ourselves, at what point does our aggressive resuscitation actually start to harm our patients?
Resuscitation in Sepsis: How Much is Too Much? Read More »
Does your choice of fluids for resuscitation in sepsis matter? Multiple studies have been performed to determine whether septic patients benefit from colloid versus crystalloid IV fluids, and other studies have specifically looked at the different kinds of fluids within those specific groups. Debate now exists as to which fluid will improve patient outcomes.
Fluid Choice in Sepsis: Does it matter? Read More »
Please see prior post here: http://www.emdocs.net/reversal-of-anticoagulation/
On October 16, 2015 the FDA granted accelerated approval of idarucizumab (Praxbind), a novel reversal agent of the direct thrombin inhibitor Dabigatran (Pradaxa), for utilization in life-threatening bleeding emergencies.1
Reversal of Anticoagulation in a True Emergency – An Update Read More »
A “must read!” Incredible power review on evaluation and management of the geriatric patient
EM approach to Geriatric Patient: Pearls & Pitfalls Read More »
A great post by Core EM – Bringing core EM content to anyone, anywhere, anytime. Learn the HIET for beta-blocker and calcium-channel-blocker toxicity by Dr. Jenny Beck-Esmay, MD (@jbeckesmay)
Core EM: Hyperinsulinemia Euglycemia Therapy (HIET) for BB and CCB Toxicity Read More »
Emergency physicians commonly care for poisoned patients. These exposures may be either intentional or unintentional. Salicylates are commonly found in many topical and over the counter preparations, yet salicylate toxicity is often overlooked and underestimated as a potential cause for illness in our patients. Below is a condensed quick-guide of common mistakes that emergency physicians may be making with respect to salicylate overdoses and how to fix them. The goals of care to take away from this article are prevention of intestinal absorption and CNS entry of salicylates, as well as drug elimination.
Pearls and Pitfalls of Salicylate Toxicity in the Emergency Department Read More »
