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Shift Pearls: Anatomic Urinary Obstruction and Septic Shock

Shift pearls returns with urinary obstruction in septic shock.

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    Articles

    Endocarditis – A Complicated Case

    • 2 Comments
    A particularly complicated case and tricky diagnosis, along with the need-to-know information for all emergency physicians
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    • practice updates

    Power Review: Transplant Patient Management

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    The transplant patient is always sicker than they appear. It is important to be aggressive in these patients since they are severely immunocompromised which not only puts them at greater risk of infection but also blunts their normal signs to infection. Always contact the transplant team to help with management
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    To the HEART of the matter

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    The HEART score is an invaluable adjunct to emergency physicians when deciding which chest pain patients are appropriate for early discharge.
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    • practice updates

    What’s New: A Review of the Sepsis Literature

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    There have been a number of new publications reviewing our approach to managing sepsis. Both the ProCESS Trial and ARISE trial published in 2014 editions of the New England Journal question whether invasive procedures and rigid protocols are required to have positive patient outcomes. Other studies included in this power
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    • practice updates

    Ask Me Anything With Mike Stone, MD (@bedsidesono)

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    Update: This AMA will be happening Friday, December 12th from Noon-1:30pm EST.

    We're very pleased to announce that our next     Ask Me Anything will be with Mike Stone, MD, RDMS. Dr. Stone is the Division Chief of Emergency Ultrasound and the Emergency Ultrasound Fellowship Director at Brigham and
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    Ultrasound for Lumbar Puncture: how to maximize first-pass success in patients with large body habitus

    • One Comment
    Locate the best site for needle insertion, demonstrate the appropriate angle of insertion, and measure the distance to reach the subarachnoid space.
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    Non-convulsive status epilepticus

    Underdiagnosed and associated with significant morbidity/mortality

    Major risk factor is convulsive status/history of seizure

    Look at eyes, face, fingers, feet for subtle movements -> If present, patient seizing

    Be concerned if patient remains post ictal/does not improve for significant time

    Treatment: Benzos + anti-seizure meds
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