Acute Aortic Occlusion
Acute aortic occlusion is a deadly condition. This post by Sara Adibi provides what you need to know.
Acute Aortic Occlusion Read More »
Surgery
The Sick Post-Neurosurgical Patient: Emergency Department Presentation, Evaluation, and Management
The critical patient with a neurosurgical complication. Pneumocephalus, hyponatremic encephalopathy, infection… these are just several of the many issues that may occur in these complicated patients. This post breaks down the sick neurosurgical patient.
Pneumoperitoneum: ED Presentation, Evaluation, and Management
When should you consider pneumoperitoneum? What should raise your suspicion?
Pneumoperitoneum: ED Presentation, Evaluation, and Management Read More »
Complications of Nephrostomy Tubes: ED Presentations, Evaluation, and Management
How do you evaluate and manage the patient with complication from a nephrostomy tube?
Complications of Nephrostomy Tubes: ED Presentations, Evaluation, and Management Read More »
The Crashing Abdominal Aortic Aneurysm Patient
The sick patient with an abdominal aortic aneurysm is challenging. What should you consider? How do you resuscitate these patients, and what about transfer?
The Crashing Abdominal Aortic Aneurysm Patient Read More »
Fournier’s Gangrene: ED presentations, evaluation, and management
Ready for an evidence-based approach to Fournier’s gangrene? Tim Montrief brings you the keys to evaluation and management.
Fournier’s Gangrene: ED presentations, evaluation, and management Read More »
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.
The Sick Post-CABG patient Read More »
Intra-abdominal Abscess – Pearls and Pitfalls
Intra-abdominal abscess can be a tricky diagnosis. What are the keys to diagnosis and management of this condition?
Intra-abdominal Abscess – Pearls and Pitfalls Read More »
PEM Playbook – The Pediatric Surgical Abdomen
Abdominal pain is common; so are strongly held myths and legends about what is concerning, and what is not. One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain. Morbidity and mortality varies by age and condition.
PEM Playbook – The Pediatric Surgical Abdomen Read More »
EM@3AM: Hernia
A 61-year-old male presents with lower abdominal pain on the right side. He says “I’ve had this bulge in my groin on the right for two days”. You find a small bulge in the right groin, but with no redness or discoloration of the skin. Palpation reveals mild tenderness over the site. What’s the next step in your evaluation and treatment?