A 4-year-old vaccinated male is brought to the ED by his parents for 3 days of hematuria and abdominal pain. They present now because he refuses to ambulate. He has a rash on his legs that family attributes to playing outside in the grass. His vital signs include HR 135, RR 20, and temperature of 37.9 C. His abdomen is diffusely tender, and he has red, raised papules on the buttocks and lower legs. What is the diagnosis, and what is the most common gastrointestinal complication?
Welcome to this week’s edition of the EM Educator series! How can you optimize care of the patient with spontaneous intracerebral hemorrhage? What do you need to consider?
EM Educator Series: Not all head bleeds are alike – Spontaneous Intracerebral Hemorrhage Read More »
Thromboelastography is a mechanism of assessing coagulation based upon the viscoelastic properties of whole blood, and when compared to other coagulation assessments, this test allows for an assessment of near real-time, in-vivo clotting capacity. The point-of-care assay, which uses graphic interpretation of thromboelastography (the TEG), offers the opportunity for an expedited assessment of coagulopathies (thrombocytopenia, factor deficiency, heparin effect, hypofibrinogenemia, and hyperfibrinolysis). How can you use this modality in the ED? This post is full of pearls on interpreting TEG.
The Thromboelastogram (TEG®): A Five-Minute Primer for the Emergency Physician Read More »