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Shift Pearls: Anatomic Urinary Obstruction and Septic Shock

Shift pearls returns with urinary obstruction in septic shock.

Articles

Thromboelastography (TEG®) for Trauma

October 24, 2014
Zach Radwine
2 Comments

Editor's note: This article was listed in LITFL Review 154's "Best of #FOAMcc Critical Care" section.

Using thromboelastography in goal-oriented algorithms, clinicians may be able to optimize targeted transfusion therapies with specific coagulation factor(s) instead of empirically administering multiple components with potentially hazardous effects.

Bounceback: An Unrelenting Headache

October 23, 2014
Rachel Wightman
No Comments

CC: Headache First visit HPI: 29 year old female with a prior history of headaches, presented with two days of gradual onset, atraumatic, right sided headache that is throbbing in nature. The patient reported heaviness about the eye but no visual changes or disturbances. No neck pain, fevers, chills. She

Don't be RASH: Emergency Physician's Approach to the Undifferentiated Lesion

October 22, 2014
Genine Siciliano
4 Comments

Editor's note: This post was listed in both the #FOAMED Review from EM Curious AND in the LITFL Review 154 "Best of #FOAMed" section.

As an EM physician, it is difficult to have working knowledge of the hundreds of different types of rashes that exist. However,

Left Bundle Branch Block in Myocardial Infarction: An Update

October 22, 2014
Ellie Salinski
7 Comments

Editor's note: This article was listed in the LITFL Review 154's "Best of #FOAMed" section.

The left bundle branch arises from the Bundle of His, and subsequently is divided into the anterior and posterior fascicles. The anterior fascicle is usually supplied by septal perforators from the Left Anterior

Ventilator Management in COPD

October 18, 2014
Justin Bright
4 Comments

Editor's note: This post was listed in the #FOAMED Review (17th Ed.) from EM Curious. It ALSO appeared in LITFL Review 154's "Best of #FOAMcc Critical Care" section.

Its 7:01am. Your shift in your department’s high acuity area is just beginning, and you are waiting to

Platelets and ddAVP in the Management of Intracranial Hemorrhage

October 17, 2014
Jeremy Kim
No Comments

Evidence-based guidelines and information for the management of intracranial hemorrhage in patients taking anti-platelet agents

Sepsis Sources: LUCCAASSB

Lung* (pneumonia, effusion, abscess)
Urine* (UTI, pyelonephritis)
Cardiac (endocarditis)
CNS (meningitis, encephalitis, abscess)
Abdomen (intra-abdominal)
Arthritis (septic)
Skin (cellulitis, abscess, NSTI)
Spine (osteomyelitis, SEA, discitis)
Bacteremia

*most common sources