Category Name: practice updates

practice updates

Mediastinitis: ED-focused basics

The mediastinum is the space between the pleural sacs which extends from the diaphragm superiorly to the superior aperture of the thorax. Mediastinitis is an infection involving the structures of the mediastinum, and this disease is a surgical emergency with potentially devastating consequences and ...

practice updates

Cystic Fibrosis: ED Management, Pearls and Pitfalls

Cystic fibrosis (CF) is a relatively rare disease but may present to the emergency department with severe complications including intestinal and pulmonary complications. This is a brief review of CF and the management of a few complications that can be associated with CF.

practice updates

Managing a Massive Hemothorax: A Guide to Stabilizing Your Patient

A hemothorax most commonly occurs secondary to penetrating or blunt chest wall trauma, with up to 70-80% of hemothoraces due to motor vehicle collisions. These injuries can cause rapid decompensation, but diagnosis and management isn't always easy. This post is filled with pearls and pitfalls in diagnosis and management of massive hemothorax.

practice updates

A Case of Severe Brown Recluse Envenomation

The brown recluse spider, Loxosceles reclusa, is a spider known for the potential to cause serious wounds. The spider is found in North America primarily, often hiding in man-made structures. The poison contains a myriad of toxins including metalloproteinases, hyaluronidases, insecticidal peptides,...

practice updates

Intraabdominal Catastrophes in the Pregnant Patient

Though many obstetric complications occur during pregnancy, the pregnant woman is still a woman with all her other organs that can be at risk, regardless of her pregnancy status. Typically, patients with obstetric complications will complain of uterine tenderness, vaginal bleeding and may have abnor...

practice updates

Chest Pain Controversies: Coronary CTA Use (Part 2)

Coronary CTA has risen to the forefront of chest pain evaluation, providing an anatomical evaluation of coronary artery vasculature. When negative, it improves negative predictive value of ACS. Additionally, CCTA allows for a better means to diagnose CAD when compared to history, physical exam, ECG,...

practice updates

FOAMed Resource Series Part IV: Toxicology

"Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy." - Paracelsus Toxicology is an ever-growing field. Staying up to date can be difficult, but FOAMed comes to the rescue again! Welcome to Part IV of the FOAMed Resource Series.