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Journal Feed covers prehospital whole blood, crying infants, and sodium bicarbonate for in-hospital cardiac arrest.

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    Articles

    • 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

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    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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    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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    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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