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emDOCs Podcast – Episode 138: EBM Acute Appendicitis in Adults Part 1

The emDOCs Podcast covers EBM Updates in the adult patient with appendicitis, specifically history and exam, lab testing, and diagnostic scoring systems.

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    Articles

    Middle East Respiratory Syndrome (MERS-CoV): What have we learned?

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    The things you need to know about MERS...
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    • practice updates

    Intern Report Collection

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    For your Friday afternoon, here's another batch of excellent write-ups from the EM interns at UT Southwestern. Our ongoing intern report series is the product of first-year residents exploring clinical questions they have found to be particularly intriguing, with an intended audience of med students & junior residents. Enjoy! [Note:
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    Mesenteric Ischemia: A Power Review

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    It’s a typical busy afternoon ED shift for you. The rack seems to be overflowing, and 3 new patients have just checked in. All have abdominal pain. You have a systematic approach to your abdominal pain patients. But, does your approach keep one critical diagnosis in mind? [...]
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    The Low-Risk Chest Pain Conundrum: Part 1

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    [Editor's note: For a limited time, Tintinalli's is making their full chapter entitled "Chest Pain: Cardiac or Not?" available to emDocs readers.]

    Low-risk chest pain. Examining and challenging "standard of care."
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    • practice updates

    Ask Us Anything With Mike & Matt

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    Our AMA with Dr. Mike Mallin & Dr. Matt Dawson from the Ultrasound Podcast, held on Friday, November 14th from 2-3:30pm EST.
    Live Blog Ask Us Anything with Mike & Matt
     
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    The Wheeze That Wasn't – An Observation on Enterovirus D-68

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    These children are often a mixed picture of viral bronchitis/bronchiolitis PLUS an asthma exacerbation. Treatment with albuterol, ipratropium, magnesium sulfate, steroids, fluids, etc are all reasonable and prudent in this population. If they begin to clinically improve within 30 minutes then you can feel good about soothing their reactive airways.
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    Anticoagulation with heparin in PE

    If patient needs heparin, consider using LMWH instead of UFH

     

    LMWH more effective in PE, less bleeding, uses subcutaneous route

     

    UFH may be preferred for cardiac arrest or persistent shock, ESRD, invasive procedure or surgery required, or active major bleeding

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