Mastering Minor Care: Ankle Arthrocentesis

Mastering Minor Care: Ankle Arthrocentesis

Far too often we are faced with the situation in which we are concerned about septic arthritis in a patient’s ankle. Although tapping the ankle can be a daunting task, Dr. Leech provides us with a guide in this month’s minor care post to make difficulty with ankle arthrocentesis a problem of the past.

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Antibiotic Review: Sexually Transmitted Infections

Antibiotic Review: Sexually Transmitted Infections

Sexually Transmitted Illness and related complaints are seen frequently in the emergency department. Does every dysuria, discharge and exposure need treatment for STIs? Do they all need evaluation? Dr. Pulvino looks at the CDC recommendations for commonly seen STI’s and discusses common treatments and the importance of a strong history and physical.

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Deep Dive: Cellulitis Antibiotics Review

Deep Dive: Cellulitis Antibiotics Review

Cellulitis with or without abscess - a common problem with a stamp-like treatment of antibiotics. Should every skin and soft tissue infection (SSTI) get the same remedy? Is there a role for risk factors or ultrasound in risk stratification of additional coverage? Join Dr. Laurence for a dive into the current literature of SSTI coverage.

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Catheter Associated Urinary Tract Infections and Foley Alternatives

Catheter Associated Urinary Tract Infections and Foley Alternatives

Catheter associated urinary tract infection (“CAUTI”) is one of the most common nosocomial infections in hospitalized patients. The use of external urinary catheters, the male external catheter, colloquially known as the “condom catheter,” and the wicking catheter, most often used in females, may help prevent the occurrence of CAUTI. In the Emergency Department, we are poised in a position where what we do (or don't do, such as insert a foley) has the potential to reduce iatrogenic harm throughout the hospital.

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Minor Care Series: Fingertip Injuries

Minor Care Series: Fingertip Injuries

Not all fingertip injuries are created equal. From a box cutter slice to a crush injury, your time and investment into these patients’ injuries varies quite significantly and we need to be ready to be expert at all options. Dr. Li guides us in a quick run down of the injury and repair types of fingertip injuries in this month’s Mastering Minor Care.

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Rhogam Redux

Rhogam Redux

Hemolytic Disease of the Fetus and Newborn (HDFN) is an alloimmune disease which develops in a fetus when a women’s immune system is sensitized, developing antibodies which cross the placenta and attack fetal RBCs. 

While there is a spectrum of the disease, in severe cases the fetus can ultimately develop hydrops fetalis which is often fatal.

As Emergency Physician’s we are classically taught that we can help to prevent HDFN by recognizing sensitizing events in Rh-negative women and subsequently providing RhoGAM. But which patients really need RhoGAM? The evidence seems to be lacking and recommendations are often inconsistent.

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