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    Articles

    Medical Malpractice Insights: Ligate only the artery, not a perfectly good nerve

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    This month's Medical Malpractice Insights from Dr. Pilcher looks at the importance of documenting before and after procedures, especially neurologic function.
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    Are you ready for the ATLS 10th Edition Updates?

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    Advanced Trauma Life Support (ATLS) was created to improve evaluation and management of traumatic injuries. Unfortunately, the literature often outpaces guidelines. This 10th edition provides several important updates for clinicians managing trauma.
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    • EM MINDSET, perspectives

    Emergency Medicine Collective Wisdom: Compton Broders

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    Welcome back to the EM Collective Wisdom series. This series asks star emergency physicians key questions concerning their successes, failures, and impact in EM. Today we have thoughts from Dr. Compton Broders.
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    A Case of Rare Cause of DVT in the Young, Healthy Patient

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    A 44-year-old female comes to the ED with left lower extremity swelling. The patient notes increased swelling and discoloration to her entire left leg for three days, associated with aching pain. In a patient without any risk factors for thrombus or any other medical reason for hypercoagulability, what could cause
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    • em@3am

    EM@3AM: Diabetic Foot Ulcer

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    A 58-year-old morbidly obese female patient with uncontrolled diabetes and peripheral arterial disease presents with an open wound to the central plantar aspect of her foot. She reports no pain, does not recall an injury, and is not sure how long she has had the ulcer. On exam, there is
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    • PEM Playbook

    PEM Playbook – Urine Trouble

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    When should you commit to getting urine? When can you wait? When should you forgo testing altogether?
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    Multiple sclerosis

    Immune-mediated, demyelinating disease, separated in time and space, females > males

     

    Presents with exacerbations, med complications, or some other condition (most common)

     

    New neuro symptom = true exacerbation -> steroids

     

    Worsening of prior neuro symptoms = pseudoexacerbation -> find and treat underlying trigger (infection)

     

    Avoid fever; worsens symptoms

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