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US - Diagnosing PE: Ultrasound of the Month
PE is often a considered and easily risk-stratified diagnosis, however what about when you take away your definitive test of the CTPA? Dr. Ham examines the 60/60 sign and other ultrasonographic tests you can use to determine the acuity of right ventricular strain which is addition to the clinical and hemodynamic evaluation can help you triage additional strategies to traditional anticoagulation.
A Weakness in the HEART?
In this month’s Journal Club Recap we take a look at some recently published literature about common heart related complaints in the ED. First, we look at the now nearly ubiquitously used HEART pathway. In a US population, do the benefits of decreased health care utilization sustain themselves to a year out of an index visit? Then we turn our attention to atrial fibrillation with RVR. Does the utility infielder of ED medications, Magnesium, actually help with more rapid rate control? And, should the results of a consensus panel sway us to treat A fib with RVR as an outpatient?
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.