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practice updates

DIC in the ED: What can you do about it?

2 Comments / practice updates /

Disseminated Intravascular Coagulation (DIC) is a serious complication of some critical illnesses. Patients are very ill and can present with a multitude of symptoms. While treatment of the underlying illness is key, there are some key interventions that can be initiated in the emergency department (ED). This is a brief review of the the underlying pathophysiology of DIC and the interventions that can be initiated in the ED.

DIC in the ED: What can you do about it? Read More »

Hemolytic Anemias: Rare but Important Diagnosis in the Emergency Department

4 Comments / practice updates /

Hemolytic anemia is the premature destruction of RBCs, which can be classified as extrinsic or intrinsic, as well as acute or chronic. In particular, several conditions associated with these anemias can cause significant morbidity and mortality. The ED provider must focus on resuscitation, followed by recognition of the hemolytic process and initiation of appropriate therapy. This post will highlight an approach to evaluation and management of hemolytic anemias.

Hemolytic Anemias: Rare but Important Diagnosis in the Emergency Department Read More »

The Bleeding Pregnant Patient in the Third Trimester: Pearls and Pitfalls

3 Comments / FOAMED, practice updates /

Third trimester pregnant patients are not seen commonly in the emergency department, but when they are, they have the potential for severe complications such as hemorrhagic shock. This article reviews the most serious causes of bleeding in the third trimester of pregnancy and also discusses management options.

The Bleeding Pregnant Patient in the Third Trimester: Pearls and Pitfalls Read More »

Unstable Sepsis: Airway First? Not Always

4 Comments / FOAMED, practice updates /

Intubation, especially in the septic and critically ill patient, can, by itself, cause hemodynamic abnormalities and/or hypoxemia and hypercapnea. In some situations, it may be important to make sure that the patient is adequately prepared for intubation, both from hemodynamic and pre-oxygenation standpoints. This is a brief review of some suggestions when intubating the very ill patient in the emergency department.

Unstable Sepsis: Airway First? Not Always Read More »

Controversies in Pulmonary Embolism Imaging and Treatment of Subsegmental Thromboembolic Disease

5 Comments / FOAMED, In the Literature, practice updates /

Pulmonary embolism (PE) is classically a life-threatening diagnosis, often considered in the work-up of patients with chest pain or dyspnea. Initial mortality rates of missed, untreated PE has been quoted as high as 26%, based on a 1960 study. This disease is common, with 400,000 patients affected with nonfatal PE and another 200,000 patients in the U.S. dying each year from this disease. PE is the third most common cause of death in cardiovascular disease after myocardial infarction and stroke.

Controversies in Pulmonary Embolism Imaging and Treatment of Subsegmental Thromboembolic Disease Read More »

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