Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: Episteme — theoretical knowledge Techne — technical knowledge Phronesis — practical wisdom — also called prudence. Here we’ll invoke each type of knowledge and unde...
Acute vision loss has a wide differential, and some of these conditions can cause permanent visual deficit. Many of these are time-sensitive, and the emergency physician may improve patient outcome through the consideration of several acute conditions. This post seeks to provide an overview of the evaluation of vision loss in the ED and a summary of several common conditions.
Hand and digital wound bleeding should be managed with hemorrhage control, an adequate exam and proper treatment. There are many tools to help manage bleeding and allow for an adequate exam. Using a topical analgesic such as lidocaine, can be helpful with pain control. The addition of epinephrine to...
Acute mastoiditis is a common complication of acute otitis media. Diagnosis includes clinical evidence of mastoid inflammation and may necessitate further imaging to exclude other complications. IV antibiotics and a surgical consult are required.
Your shift starts and all of your patients are bleeding! There is an MVC victim with a tense abdomen and traumatic brain injury, a patient with an upper GI bleed, a woman whose spontaneous vaginal delivery has turned into a post-partum hemorrhage, and a brisk epistaxis in the back hallway. You tha...
Female abdominal pain possesses a large differential with several key diagnoses. Ovarian torsion is one such diagnosis. What are the keys in presentation, diagnosis, and management of ovarian torsion?
The LBB should not be used as a therapeutic intervention. Instead, spinal motion restriction should be practiced.
What do you do with the head trauma patient who is anticoagulated? Do you discharge the patient, observe and repeat CT, or admit the patient? This post evaluates this question and more.
