It’s a crazy night in the ED, and you are about four hours into your shift. You have just received a new patient with chief complaint of altered mental status coming in via EMS.
Differentiating and identifying the dangerous headaches in the emergency department
Our ongoing intern report series is the product of first-year EM residents at UT Southwestern exploring clinical questions they have found to be particularly intriguing. For med students & junior residents – if you haven’t encountered these issues yet, you will!
Naloxone has been proven to reduce the incident of death in acute opioid overdoses. So why aren't we using it more often?
"The key to the ED evaluation of pediatric syncope is using the history, physical, and ECG to exclude serious pathology"Great review of pediatric syncope from Zach Radwine, MD, including red flags, an extensive differential, and normal vs. abnormal peds ECG findings.
"There are few hard truths in our field, even in this age of evidence-based practice" Widely-held and taught ideas whose time has passed: Here are eight (!) EM myths from Ryan Dietert, MD.
"The lack of high-quality controlled human studies precludes ILE as a first-line agent for indications other than local anesthetic systemic toxicity" Thanks to James Cao, MD for this excellent review of the literature on the use of ILE therapy in various toxicologic emergencies.
