Unlocking Common ED Procedures – Cutting Through the Triangle: A Review of Tube Thoracostomy in the ED
Anthony DeVivo is back with another post in his series on ED procedures. Today he looks at tube thoracostomy, or the chest tube!
#FOAMcc
The Sick Post-CABG patient
A patient presenting status post CABG can be difficult to evaluate and manage. What should you consider? Tim Montrief provides you with pearls and pitfalls for your next shift.
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emDocs Cases: Angioedema Evaluation and Management
Could it just be some lip swelling? Today on emDocs Cases we look at the ED evaluation and management of angioedema, with an in-depth investigation into medications for bradykinin-mediated angioedema.
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Airway Management in Cardiac Arrest
The airway in cardiac arrest… You have several options including endotracheal intubation, supraglottic airway, and bagging, but what’s best?
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EM@3AM: Mucormycosis
A 65-year-old male with poorly controlled type 2 diabetes and ESRD on dialysis presents for right sided nose/facial discomfort and swelling and fever. Exam reveals altered mental status. He has right nasal swelling and tenderness, with a necrotic area on nasal septum. He is tachycardic, but the CV, pulmonary, skin, and GI systems are otherwise normal. What’s the likely diagnosis?
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Push-Dose Vasopressors: An Update for 2019
How should you use push-dose vasopressors in the ED? This post looks at the evidence behind their use and provides key points for patient care. As an added bonus, the post contains cards that can be printed for easy use on shift.
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Normal Lactate, but a Sick Patient… Lactate is Not Everything
Historically we’ve equated lactate with sepsis, but what else can cause an elevated lactate? When it comes down to it, lactate is only a number. This post investigates the ins and outs of this laboratory marker.
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Choosing Wisely: Non-invasive ventilation in patients with acute respiratory failure from pneumonia
You have a patient with respiratory distress due to severe pneumonia. What should you do? Do you intubate immediately, place the patient on noninvasive positive pressure ventilation, or high flow nasal cannula? This post from Dr. Lentz and colleagues explores your options.
A Case of the Incidentally Discovered Pneumomediastinum
Pneumomediastinum… Where is the air coming from? Who do you consult? Are antibiotics and/or surgery needed?
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EM@3AM: CNS Toxoplasmosis in HIV/AIDS
A 31-year-old male presents for headache for the past 72 hours. He has a history of tension headaches, but confirms that this headache feels different. He has a history of HIV/AIDS and is noncompliant with medications. His last known CD4 count one month prior was 200. He appears confused and is febrile. Neurologic exam reveals motor deficit of RUE and RLE. What’s your next step?
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