ECG Pointers: Limb Lead Reversal
What happens with limb lead reversal on the ECG?
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practice updates
UTI – Pearls and Pitfalls in Urine Testing
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?
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Hemorrhagic Shock: Pearls and Pitfalls for the Resuscitation Room
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.
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Quality Corner: Perianal and perirectal abscess; Pneumomediastinum
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.
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An Evidence-Based Approach to Pressors in Shock: Part II
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).
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An Evidence-Based Approach to Pressors in Shock: Part I
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.
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Quality Corner – Head Trauma and Anticoagulation; Postdural Puncture Headache
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.
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Positive Troponin in CKD/ESRD: Clinical Relevance / Pearls & Pitfalls
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?
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Quality Corner – Crohn’s Disease, Tachycardia, Thrombocytosis; Angioedema – Treatment and Disposition
Welcome to Quality Corner, an emDocs series evaluating tough cases and potential areas for improvement. Today we look at Crohn’s Disease, tachycardia, thrombocytosis, and angioedema treatment and disposition.
Quality Corner – The Bleeding Fistula and Neutropenic Fever
Welcome to Quality Corner, a new emDocs series evaluating tough cases and potential areas for improvement. The goal of this series is to provide you with the necessary information to optimize your care and documentation in the ED. Today we look at the bleeding fistula and neutropenic fever.
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