Inborn Errors of Metabolism
The crashing neonate: What could possibly go wrong? An updated review with pearls and pitfalls in the presentation, diagnosis, and management of inborn errors of metabolism
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practice updates
Vascular Causes of Syncope
These three patients presented with syncope as part of their respective histories, despite suffering from different pathologies. Syncope is a transient loss of consciousness with rapid recovery to baseline. Each history is concerning for a vascular etiology. In the ED we are focused on risk stratifying and ruling out life threats. Vascular and cardiac causes of syncope are two different pathways that ED physicians must rule out. This post will cover vascular causes of syncope.
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EM Mindset: Deborah Diercks – The EM Environment
Continuing with our EM Mindset series, here is another piece by Dr.Diercks to kick off your week. Understand the unpredictable nature of the EM environment and set yourself up for success. Enjoy!
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Medical Clearance of Psychiatric Patients: Pearls & Pitfalls
An update on the medical clearance of patients presenting to the ED with primary psychiatric complaints. What tests are actually helpful?
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EM Mindset: Matt Dawson – The Ideal EM Mindset
Hope everyone had a great Memorial day weekend! Continuing with our EM Mindset series, here is another piece by Dr. Dawson to kick off your week. Passion for EM is a great start, but don’t forget these five ideals of the EM mindset. Enjoy!
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Ketamine and Rocuronium: The New Etomidate and Succinylcholine?
Rapid Sequence Intubation (RSI) is one of the most critically important skills for an Emergency Medicine physician to be able to perform quickly and accurately. All airway management in the emergency department is performed on the unstable patient, often with unknown co-morbidities and a full stomach. In recent years, standard medication choices for induction were etomidate and succinylcholine. While other medications were proposed and tried, several were avoided for hypothetical side effects that have not borne out in recent research. Arguably, the modern combination of ketamine and rocuronium has less significant complications, and provides a superior alternative to etomidate and succinylcholine.
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Lemierre’s Syndrome Update
An update on the cause, pathophysiology, diagnosis, and management of Lemierre’s syndrome
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EM Mindset: James Adams – Frameworks & Habits of an EP
Continuing with our EM Mindset series, here is another piece by Dr. Adams to kick off another Monday. Review the frameworks and habits that appear to be common of an emergency physician. Enjoy!
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Spontaneous Coronary Artery Dissection
Another rare zebra to think about in the emergency department…
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Simplicity and Entropy in Emergency Medicine
The job of an Emergency Physician (EP) is difficult. Every shift we balance the difficulties of making a decision with suboptimal information and resources amidst a sea of chaos. From a cognitive point of view, the main job of an EP is to organize the information in the Emergency Department (ED) to make safe and appropriate interventions and disposition decisions.
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