FOAMed has revolutionized medical education. This is the second part of a multipart series evaluating FOAMed resources for learners of all levels. Today’s post covers ultrasound, an essential tool in emergency medicine.
FOAMed Resource Series Part II: Ultrasound Read More »
SBP is a hallmark of advanced liver disease with mortality estimates of 31.5% at 1 month and 66.2% at 12 months! With mortality rates that high, here are some ED management pearls about which emergency physicians should be aware.
Spontaneous Bacterial Peritonitis – Pearls & Pitfalls Read More »
What’s the literature behind using ultrasound for retained foreign bodies in soft tissue, and how do you do it? Read on for more!
Ultrasound for Retained Radiolucent Foreign Body in Soft Tissue Read More »
How do you care for the crashing trauma patient? This post takes you through the critical resuscitation step-by-step.
The Crashing Trauma Patient Read More »
Your overnight junior calls for your help with his decompensating intubated patient. The patient is a 54 year-old male with a history of COPD who was intubated ten minutes ago. The ventilator is alarming due to high pressures. The patient’s current vitals are HR 140, BP 80/50, SpO2 82%. The ventilator settings are VCV rate 12, tidal volume 450, PEEP 15, FiO2 100%. You quickly disconnect the circuit but the patient is not improving. What do you do next?
Taking Ownership of the Ventilator – How to Manage and Troubleshoot Read More »
Welcome to the third blog post in a series on subtle ECG findings in ACS. This post about mimics: benign early repolarization (BER) and the anterior STEMI. Each of these can mimic the other. The problem is that one of these diagnoses is deadly and the other is a normal variant.
Subtle ECG Findings in ACS: Part III Benign Early Repolarization vs. Anterior STEMI Read More »
What if you could identify a patient with complete coronary vessel occlusion almost immediately after it occurs, before the ST segments begin to elevate? What if you could pick up the very subtle, early MI? We know that early recognition and intervention improves outcomes in patients with coronary artery occlusion. Sometimes patients presenting with ACS are obvious. Sometimes it seems that the patient has read the textbook. However, more often than not, patients are not obvious, especially in the early stages of ACS. That is why we are concerning ourselves with subtlety.
Subtle ECG findings in ACS: Part II Hyperacute T-Waves Read More »
An 82 year-old man with a history of dyslipidemia, hypertension, and CAD s/p stenting was driving home from the grocery store when he experienced sudden vision loss in his right eye around 2:30 pm. He has no previous history of vision problems and is puzzled but eventually concerned. By the time he presents to the ED he has light perception only in his right eye. He cannot not recognize motion. Central retinal artery occlusion (CRAO) is first in the differential.
Central Retinal Artery Occlusion Read More »
Pearls and pitfalls for EKG Analysis in the Emergency Department
ECG Analysis: Where do we go wrong and how can we improve? Read More »
The increased troponin used to be a straight ticket to the cardiology service. Now, the picture isn’t so clear. What do you need to consider in the patient with elevated troponin?
The Elevated Troponin: What else besides ACS could cause troponin elevation? Read More »
