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    Articles

    Tox Cards: Athletic Enhancement Drugs

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    Be careful how you decide to keep your NYE resolution to get in shape! This week's Toxcard covers athletic enhancement drugs.
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    Medical Malpractice Insights: So you think you’re smarter than the EKG computer…

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    This month's Medical Malpractice Insights from Dr. Pilcher details a case of EKG subtleties. Who's smarter: the EKG computer or the ED physician?
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    The EM Educator Series: Sepsis in the ED

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    Welcome back to The EM Educator Series! These posts provide brief mini-cases followed by key questions to consider while working and educating. Today we look at several components of sepsis evaluation and management in the ED, followed by key references.
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    Injection Drug Use Complications

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    IV drug use is associated with a significant number of complications affecting almost all organ systems. What should you consider in the ED with the injection drug user?
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    EM@3AM: Epistaxis

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    A 62-year-old male presents holding a bloody wash cloth pinched over his nose spitting blood into a coffee mug. His wife walks in behind him with a grocery bag full of medications. Among them you recognize a common blood thinner. What is the diagnosis, and what are your next steps?
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    R.E.B.E.L. EM – The Good, The Bad, and The Ugly of Proton Pump Inhibitors in UGIB

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    The ultimate question however is does initiation of PPIs reduce clinically relevant outcomes (i.e. mortality, rebleeding, need for surgical intervention) in upper gastrointestinal bleeds (UGIB)?
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    Acute heart failure exacerbation disposition

    Not all patients require admission

     

    Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up

     

    Elevated troponin and serum Cr associated with worse outcomes

     

    Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)

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