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Diagnostics and Therapeutics: Ear Emergencies in the Department
Ear trauma, pain, and infection are a few of the common presenting complaints in emergency departments across the US, accounting for millions of visits annually. This post aims to review the diagnosis and treatment approaches for common ear emergencies including auricular hematomas, outer ear infections, and retained foreign bodies.
Grand Rounds Recap 11.1.23
This week Grand Rounds kicked off with a range of complicated cases including of choledocholithiasis, syphilis, and hyperthermic-associated toxidromes. Dr. Bryant than presented on burns in a low resource setting for our global health lecture. Drs. Goel and Thompson discussed the decision rules for head and C-spine imaging. And Drs. Gallen, Brower and Finney finished off our resident lectures for our core content.
Serratus Anterior Plane Blocks for Rib Fractures in the ED
Rib fractures occur in up to 10% of all traumatically injured patients and these fractures are frequently associated with respiratory complications such a pneumonia. In the ED, our typical protocol to decrease the incidence of these respiratory complications is early initiation of aggressive pain control and pulmonary hygiene. These patients often will receive systemic analgesia with opiates to decrease the incidence of these respiratory complications, which leads to its own set of opiate associated-complications, including constipation, delirium and dependence.