Suprapubic catheters are a more invasive type of catheter that have specific indications. Patients typically have these long-term and may present to the emergency department with complications related to their catheters. This is a brief overview of some complications of suprapubic catheters and how to manage them.
Suprapubic Catheter Complications: Tips and Tricks Read More »
Intubation is an important intervention in the ED. We see a critical or impending airway problem and we secure the airway with intubation–very satisfying! Yet our job does not stop there. In addition to maintaining an appropriate ventilation strategy after intubation, it is crucial that we use appropriate post-intubation sedation and analgesia regimens for the continued care of these critical patients. This post will review sedation and analgesia regimens for different clinical scenarios after intubation, as well as some common pitfalls that we must be diligent to avoid.
Post-intubation analgesia/sedation regimens in ED: Pearls & Pitfalls Read More »
Sepsis is a condition emergency providers manage daily and has the potential for high morbidity and mortality. Sepsis management requires rapid diagnosis, early administration of intravenous (IV) fluids with broad-spectrum antimicrobials, and source control. But what is the role for steroids in sepsis? What are the potential benefits and risks? This post will explore the evidence surrounding corticosteroids in sepsis management to help shed some light on this controversial topic.
The Controversies of Corticosteroids in Sepsis Read More »
Propofol Infusion Syndrome – a rare complication that you should be aware of when accepting your next ICU transfer patient.
Propofol Infusion Syndrome (PRIS) Read More »
The purpose of this article is to present a discussion on Lyme using a case based format. The goal is to expand the reader’s differential to include Lyme disease in a multitude of cases, provide tips/tricks for diagnosis and treatment, discuss the role of prophylaxis, and address Chronic Lyme Disease.
Lyme disease ED Presentations / Management Pearls and Pitfalls Read More »
The burn patient: a review of the ins and outs of ED management.
Modern-Day Burn Resuscitation: Moving Beyond the Parkland Formula Read More »
The mediastinum is the space between the pleural sacs which extends from the diaphragm superiorly to the superior aperture of the thorax. Mediastinitis is an infection involving the structures of the mediastinum, and this disease is a surgical emergency with potentially devastating consequences and serious threat to vital structures. This post provides the information that you need to know concerning this deadly disease.
Mediastinitis: ED-focused basics Read More »
Cystic fibrosis (CF) is a relatively rare disease but may present to the emergency department with severe complications including intestinal and pulmonary complications. This is a brief review of CF and the management of a few complications that can be associated with CF.
Cystic Fibrosis: ED Management, Pearls and Pitfalls Read More »
Though many obstetric complications occur during pregnancy, the pregnant woman is still a woman with all her other organs that can be at risk, regardless of her pregnancy status. Typically, patients with obstetric complications will complain of uterine tenderness, vaginal bleeding and may have abnormal fetal heart tones on monitoring. When signs and symptoms do not support an obstetric cause for the patient’s abdominal pain, it is imperative that the differential is still wide for all other causes.
Intraabdominal Catastrophes in the Pregnant Patient Read More »
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.
The Dialysis Patient: Managing Fistula Complications in the Emergency Department Read More »
