practice updates

We manage alcohol withdrawal on a daily basis, but what are other complications of alcohol withdrawal?

Catastrophic Antiphospholipid Syndrome, or CAPS, is associated with poor outcomes. But what is this condition? This post provides you the basics on this difficult disease.

What happens with limb lead reversal on the ECG?

UTI is a common condition managed in the ED. What mistakes can you make with the urinalysis and urine dipstick? Is a urine culture needed for every patient?

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.

Welcome back to Quality Corner, a series that evaluates tough cases with potential areas for improvement. This month’s Quality Corner covers cases involving perianal/perirectal abscess and pneumomediastinum.

Welcome back to Part II of the series on vasopressors. Part I discussed basic guidelines for pressor use, in addition to specific literature regarding “inopressors” (norepinephrine, epinephrine, and dobutamine). Part II will discuss “pure inotropes” (dobutamine and milrinone) and “pure vasopressors” (vasopressin and phenylephrine).

We use vasopressor agents almost daily in the ED, but what’s the evidence behind these medications? Can we fine-tune our utilization of pressor agents? This is the first of a two part series evaluating pressor agents in shock.

Welcome back to Quality Corner, a series that evaluates tough cases with potential areas for improvement. This month’s Quality Corner covers a case involving head trauma and anticoagulation, followed by a case of postdural puncture headache.

An elevated troponin in the patient with severe renal disease can present significant challenges. What do you need to consider with an elevated troponin in this patient population? Is it ACS?