Welcome to the new Tamingthesru
Same great content - new look - improved search
PERCs of the Wells Score
Pulmonary embolism (PE) is one of the big “can’t miss” diagnoses in the emergency department. Unfortunately, presenting symptoms are often vague, and definitive diagnostic testing is expensive and comes with risks of radiation and contrast to the patient. In order to avoid missing a PE while mitigating the risks associated with overtesting, some clinical decision tools have been created to aid in the diagnostic process. We will focus on two of these commonly used decision tools: the PERC rule and the WELLS score for PE.
Grand Rounds Recap 5.1.19
We had an exciting Grand Rounds this week. We started off with our visiting lecturer, Dr. Jennifer Wiler, who gave us an excellent overview of the dollars and cents behind the care that we provide in the emergency department. Afterwards we practice some oral board style cases. Dr. Betz led a challenging triple patient encounter where we had to simultaneously manage a knee dislocation, aortic dissection with involvement of the right coronary artery, and pneumonia in the setting of HIV. Dr. Curry led a riveting case of preeclampsia where identifying the critical history of a recent delivery was critical to initiating the correct management. We wrapped up the day with a simulation led by Drs. Hill, LaFollette, and Lang on in-flight emergencies!
A Headache with Consequences - Temporal Arteritis
This will mark the third and final recap of the March 2019 asynchronous small group cases. Feel free to take a look and listen back at Parts 1 and 2. This post we’ll be covering the presentation fo a middle aged female with a headache. The differential is broad and fraught with a number of life/limb/sight threatening diagnoses. As with the previous recaps, we recorded a podcast where we walk through the presentation, initial work up and management.