Early Sepsis: Why Do We Miss It And How Do We Improve
Sepsis is a common, serious medical condition diagnosed and managed in the ED. What do EM providers miss, and how can we improve?
Early Sepsis: Why Do We Miss It And How Do We Improve Read More »
practice updates
Hemolytic Uremic Syndrome (HUS): Pearls and Pitfalls
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 »
Management of the Sick Dialysis/ESRD Patient
Critical pearls and pitfalls for the management of the sick dialysis/ESRD patient in the Emergency Department
Management of the Sick Dialysis/ESRD Patient Read More »
Pushing tPA in a code situation: what’s the evidence / when can we make the most difference?
Administering a thrombolytic in a cardiac arrest from MI remains controversial. Data remains limited and should be considered on a case by case basis.
EM Mindset: Alex Koyfman – A Career Worth Pursuing
Happy Holidays from all of us at emDOCs.net! Thank you to all of the amazing EM docs that have contributed to our new EM Mindset series this past year. As we take a break from this series to accumulate more of your pearls, wisdom and life lessons through your journey in EM for our next chapter in this series, we at emDOCs leave you with this EM Mindset. Enjoy!
EM Mindset: Alex Koyfman – A Career Worth Pursuing Read More »
Resuscitation in Sepsis: How Much is Too Much?
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 »
EM Mindset: Christopher Doty – Approaching the World
Continuing with our EM Mindset series, here is another great piece by Dr. Doty to kick off your week. Enjoy!
EM Mindset: Christopher Doty – Approaching the World Read More »
Pediatric Chest Pain
Children like to pretend to be grown-ups. Unfortunately, sometimes they develop grown-up problems (Cholelithiasis, Kidney Stones, and Hypertension). Additionally, often kids will complain of symptoms that warrant great concern in adults, but often engender apathy when considered in children. Chest Pain is a great example of one of these complaints.
Pediatric Chest Pain Read More »
Fluid Choice in Sepsis: Does it matter?
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 »
EM Mindset: Charlotte Wills – Black Clouds
Continuing with our EM Mindset series, here is another great piece by Dr. Wills to kick off your week. Enjoy!
EM Mindset: Charlotte Wills – Black Clouds Read More »