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Under Pressure - Compartment Syndrome Diagnostics
Compartment syndrome is a surgical emergency that can present after a variety of insults, ranging from those we commonly encounter in the ED (fractures, crush injuries) to more rare clinical presentations (snake bites, electrocution). The initial elevation of compartment pressures can be secondary to internal (ex. bleeding, swelling, fluid overload) and/or external (ex. compressive devices, burn eschar) factors. In this post, we detail the history/physical and diagnostic evaluation of possible compartment syndrome.
Grand Rounds Recap 8.4.21
This week, Dr. Otten reveals the toxicology that flourishes around us in his discussion of poisonous plants, Dr. Doerning shares his wisdom on finances for physicians and perspective on applying for EM jobs, Dr. Jarrell introduces us to key concepts in social emergency medicine as they relate to substance use disorder and harm reduction, Dr. Comiskey discusses the presentation and treatment of calcium channel blocker overdose, Dr. Berger reflects on dual process theory, cognitive forcing, and beauty in unlovely places, and our ED Pharmacists discuss Factor Xa reversal, NMDA dosing and reversal, and general updates.
Ultrasound of the Month: Should I Drain That? Lessons on Cardiac Tamponade
Dr. Anita Goel takes us through ultrasonographic signs of cardiac tamponade and shows us when a simple effusion can become a true time-sensitive emergency.