recent articles

practice updates

Hemoptysis: Key principles and management

Hemoptysis is defined as expectoration of blood originating from the tracheobronchial tree or lung parenchyma. It may be massive or non-massive, but the majority of patients with hemoptysis will have non-massive hemoptysis. This is a brief overview of the causes, evaluation and management of hemoptysis in the emergency department.


Pneumonia Mimics: Pearls and Pitfalls

Pneumonia is an illness frequently seen in our emergency departments. But, are all presentations actually pneumonia? Are we missing other illnesses that present similarly to pneumonia? Which ones pose significant morbidity and mortality risk to our patients? What clues are out there that will aid us in making an alternative and critical diagnosis?

practice updates

R.E.B.E.L. EM – Is Too Much Supplemental O2 Harmful in COPD Exacerbations?

Does hyperoxia suppress a COPD patient’s respiratory drive? Does it cause V/Q mismatch? Does it change the chemistry of the patient’s blood through the Haldane effect? It’s enough to make you want to give up and page respiratory therapy. Well lucky for you we sifted through the primary literature to bring you the myths and facts, and the short answer is… it’s complicated.