On first glance, you observe active bleeding from the bilateral nares. Direct pressure has obtained hemostasis. What is your next step? Topical vasoconstrictors? Nasal packing? Can this patient go home, or does he need to be admitted? Let’s discuss a few key points about the management of posterior epistaxis.
All dialysis patients require some form of vascular access and unfortunately, complications such as bleeding may occur. This is a brief overview of the bleeding complications that may occur in the dialysis patient. Patient evaluation, workup and treatment regimens are discussed.
Organ transplantation is common and challenging in the emergency department. Transplant patients are at risk for a wide variety of complications, especially in the period immediately after surgery. This post will review complications specific to transplanted kidneys, livers and hearts.
Common postpartum emergencies include hemorrhage, infections, hypertension, preeclampsia/eclampsia, and headache. HELLP and peripartum cardiomyopathy are rare postpartum complications. This article reviews the presentation of these emergencies and how they are properly diagnosed and managed in the emergency department.
“I’ve got a pulse,” you hear the nurse shout. Finally, a sigh of relief comes over the crowded resuscitation room and you take a moment to reflect on what just happened... but, your work is just now about to truly begin. It is up to you to determine why the patient died in the first place and determine which crucial steps need to be initiated to increase your patient’s chance of survival.
A discussion of can't miss life threatening complications in the postpartum period
Your next 3 patients… #1: Gastric bypass pt with SIRS criteria #2: Gastric bypass pt with psychiatric complaints #3: Gastric bypass pt with nausea/vomiting The Basics -Morbid obesity continues to rise significantly (epidemic) -Increasing # of weight-loss surgeries w/ physical/psych effects...
A 24-year-old male presents to the ED from a mixed marital arts competition after being struck on the side of the right head by a fist earlier today. The patient denies any loss of consciousness, neck pain, vomiting, or use of blood thinners. His vital signs include BP 133/82, HR 76, T 97.5, RR 15, ...
