A time-sensitive diagnosis: testicular torsion. This review evaluates the clinical presentation, diagnosis, and management of testicular torsion, providing an evidence-based update for emergency providers.
Testicular Torsion: Pearls and Pitfalls Read More »
The transient ischemic attack (TIA) places patients at high risk for future stroke. This article reviews the current literature on the diagnosis, management and disposition of patients with TIA. The use of observation and TIA clinics is also discussed.
How can you decrease the risk of the peri- and post-intubation patient decompensation? This post is filled with pearls that you need to know!
Preventing peri- and post-intubation decompensation: Pearls + Pitfalls Read More »
Hand and digital wound bleeding should be managed with hemorrhage control, an adequate exam and proper treatment. There are many tools to help manage bleeding and allow for an adequate exam. Using a topical analgesic such as lidocaine, can be helpful with pain control. The addition of epinephrine to a topical analgesic in hand and digital wounds may not be as scary as once thought and may be considered to help with hemorrhage control in certain wounds.
Bleeding Hand Wounds Read More »
Dizziness is a common chief complaint with a large differential ranging from benign to a life-threatening bleed. How should you approach the patient with dizziness, and what do you need to consider?
A Simplified Approach to the Patient with Dizziness Read More »
Third degree, or complete, heart block indicates complete dissociation between the atria and the ventricles. It is a cardiac emergency that has numerous causes including primary cardiac, electrolyte and medication toxicity. It needs to be managed with emergent pacing, either trancutaneous or transvenous. This article describes complete heart block and its management.
The new, updated sepsis definitions have been released. What are the changes, and what should you know?
Ready for the New Sepsis 3.0? Read More »
Weakness is a challenging chief complaint. Always consider the common etiologies such as urinary tract infections. However, debilitating spinal cord pathology and other rare causes of weakness should be ruled out in otherwise negative work ups.
Undifferentiated Weakness: ED-Focused Approach and Management Read More »
Female abdominal pain possesses a large differential with several key diagnoses. Ovarian torsion is one such diagnosis. What are the keys in presentation, diagnosis, and management of ovarian torsion?
Ovarian Torsion: Pearls and Pitfalls Read More »
There is no individual sign or symptom that can reliably exclude appendicitis in any patient. Appendicitis should be considered one diagnosis among a large differential. Concerning cases with a negative CT should be considered for admission. Radiation should be limited in children. Treatment may include antibiotics along with surgery.
Appendicitis: Pearls and Pitfalls in Adult and Pediatric Populations Read More »
