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.Read More
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.Read More
In the month’s Minor Care Series, we will shift focus to a dive into orthopedic complaints, starting first with finger tendon injuries. We frequently see patients that come in with a finger that can’t flex or can’t extend; what should we do for these patients? Read on to find out!Read More
In this month’s Minor Care Series we discuss some common eyelid disorders. We will also review some tear duct anatomy and answer the time-old question “What’s the difference between a hordeolum and a chalazion?” Read on, future masters of the eyelid…Read More
Lacerations. We close these all the time, right? But what if it is on the eyelid? Do we close these and what should we be looking for? Read on, as Dr. Li walks us through the evaluation and management of these (sometimes) complicated patients.Read More
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.Read More
Not every swollen knee is an emergency, but treatments can vary between NSAIDs and an operative wash-out. Drs LaFollette and Stolz walk through the use of bedside ultrasound to focus our ED care.Read More
Our Minor Care Series continues with another case of the red eye! This time we discuss uveitis. But what exactly is the uvea? Is uveitis the same as iritis? And what do these patients need in the ED? Read on to answer these questions and more!Read More
More Ultrasounds! This month, a case of abdominal pain in a patient with Crohn's Disease. Jump right to CT? Not when you have an ultrasound probe handy! Read on to learn more about the ultrasound evaluation of the patient with abdominal pain, and what you might just find...Read More
Minor Care series is back with more from the red eye! We've already covered conjunctivitis and scleritis, now for another high yield topic: Corneal Abrasions! Everyone seems to have their own way of treating these patients, but is it evidence based? Read on to find out what the literature says about this common complaint.Read More
Ultrasound Case of the Month is Back! This month, a patient with several months of progressive dyspnea. Not acute, so not an ED problem? Think again! Read on to see what you might have missed if you didn't pick up an ultrasound probe...Read More
More on the red eye! This time we discuss episcleritis and scleritis, two conditions that are often mistaken for each other. One of these conditions, however, can have detrimental consequences if missed. Read on to learn how to tell the difference and what to do about it once you've made the diagnosis.Read More
This is our inaugural edition of the Ultrasound Case of the Month. In this case we examine an early pregnancy ultrasound with an unusual finding. Read on to learn about a measurement we are often not doing in the ED and what we may be missing.Read More
It's been a busy night in the SRU. You've already sent two traumas to the OR, given tPA to an acute stroke, and sent a post-arrest patient up to the MICU. As you walk back to your computer to finally take a sip of now cold coffee, you notice there's a new patient in A2. The chief complaint, conjunctivitis. You sigh as you try to recall the differential for the red eye. You think to yourself, I wish they actually covered eyes in medical school. Read on to learn how to care majorly about a “minor” complaint. And no, all is not solved by some antibiotic drops.Read More