recent articles

practice updates

AMA with Deborah Diercks – SAEM President & UTSW EM Chair – 2/2/15

Live Blog Ask Me Anything With Deborah Diercks

practice updates

Acute Chest Syndrome

Often, the dreaded complications that we are taught to look for don’t present to us in the Emergency Department, but develop and evolve during the hospitalization that began with the patient seeing us in the ED. Our skill can help the child in distress, but our vigilance can detect the evolving Acute Chest Syndrome and perhaps even prevent it. Thanks to Sean M. Fox, MD (@PedEMMorsels) for this gem with significant clinical relevance.

practice updates

Lyceum Bullets: Trauma

Questions addressed by EM Lyceum and bulleted by emDocs: 1. When do you use tranexamic acid in trauma? 2. When you can’t get peripheral access in a trauma patient, do you prefer subclavian, femoral, or IO? 3. Which trauma patients do you give PCC to over FFP? 4. In blunt abdominal/flank trauma, do you send a urinalysis or simply look for gross hematuria?

practice updates

Stress testing: a beginner’s guide

Stress testing: a beginner’s guide Author: Jason Brown, Capt, USAF, MD (EM Resident Physician, University of Maryland) // Editor: Alex Koyfman, MD Stress tests are aptly named in that the goal is to cause a physiologic stress and to, through a variety of modalities, detect that stress’ impact on the myocardium. There are three major […]

practice updates

Posterior Stroke, HiNTS exam

Author: Jason Brown, MD (EM Resident Physician, University of Maryland) // Editor: Alex Koyfman, MD Background Posterior strokes make up 1 in every 5 ischemic strokes in the US.  That equates to about 150,000 strokes per year involving the posterior circulation with an incidence of 18/100,000.  Bottom line: This is a common, emergent diagnosis that […]


Nephrolithiasis: Diagnosis and Management in the ED

Authors: Subhanir Sunil Chitnis, MD (@ChitnisMD, EM Resident Physician, Rutgers NJMS), Dawn Kabba, MD (EM Resident Physician, Rutgers NJMS), and Miriam Kulkarni, MD (EM Attending Physician, Rutgers NJMS) // Edited by: Alex Koyfman, MD & Justin Bright, MD Introduction Calcium oxalate (and to some degree calcium phosphate) stones account for 80% of all kidney stones […]