Diagnostics: Ophthalmologic Trauma
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Dr. Pawlik walks us in depth through the evaluation, diagnosis and management of traumatic injuries to the eye.
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Intern Core Content: Disorders of the Adrenal Glands
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Join Dr Haupt as she discusses the adrenal glands, their role in hormone production and other functions throughout the body, and common problems that can occur when the adrenal glands are not working properly. Although most of these issues are non emergent problems, occasionally they will be seen in some sort of acute adrenal crisis in the emergency department and ER physicians should be well versed in their often subtle presentations!
Read MoreDiagnostics: Bariatric Surgery Complications
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Dr. Guay walks us through pathology unique to patients with a history of bariatric surgery. From surgical complications to vitamin deficiencies, there is a lot to consider in the care of this population.
Read MoreDiagnostics and Therapeutics: Inhalation Injuries
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Dr Boggust walks us through the most important considerations for patients who present to the Emergency Department with inhalation injuries from smoke and other noxious chemicals.
Read MoreDiagnostics and Therapeutics: Tumor Lysis Syndrome
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Tumor lysis syndrome (TLS) is rare disease presentation in the emergency department that is very important to learn to diagnose and treat due to the high associated mortality, often quoted at 20% or more. This post discussed the pathophysiology of the disease process, as well as how to appropriate identify and treat TLS in a timely manner to prevent complications such as cardiac dysrhythmias and acute renal failure.
Read MoreBreath Easy: Navigating Asthma and COPD Exacerbations
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Not all breathing is made equal, and a lot of it wheezes in the world of Emergency Medicine. Join Dr. Blaine Oldham as he reviews asthma and COPD and how to approach each with some nuance
Read MoreBut Can You Just PO?
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Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Patients present to the ED with hypovolemia secondary to a plethora of causes—some requiring IV fluid resuscitation and others requiring none. Considering the nationwide IV fluid shortage, judicious use of fluids is imperative. Thus, this begs the question, who really needs IV fluids, and can the patient simply hydrate orally? This article serves to briefly discuss IV fluids administration in the ED and the instances where they are not indicated.
Read MoreDiagnostics: Sarcoidosis and its Complications
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Dr. Dixon walks us through an overview of sarcoidosis and the many complications we must look out for in the emergency department.
Read MoreDiagnostics: Intractable Hiccups
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Persistent or intractable hiccups can be both a diagnostic and therapeutic conundrum for the emergency physician. Dr. Charlie Reed takes us through the pathophysiology, evaluation and treatment of this condition, and reveals the dangers that can be harbored by this common symptom.
Read MoreDiagnostics and Therapeutics: Pneumomediastinum
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Pneumomediastinum is defined as the infiltration of air into the mediastinum and its structures. This disease process can be benign, but also requires careful evaluation and management, and in severe cases may require surgical intervention. This post helps the emergency physician learn to both identify and treat this rare but important clinical entity.
Read MoreDiagnostics: Thromboembolic Disease in Pregnancy
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Venous thromboembolisms (VTE) are difficult enough to diagnose and treat in the standard patient. However, this becomes even more of a challenge in the pregnant patient. In this post, we will discuss in depth the work up of VTE in the pregnant patient, which often requires slightly different risk stratification tools. We will also discuss various treatment options for VTE in pregnancy and the post partum period.
Read MoreDiagnostics: Blood Transfusion Reactions
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Blood transfusion is a typical activity in Emergency Medicine and while consent to the side effects are fortunately uncommon, they are a core skillset so join Dr. Sprys-Tellner in learning the numbers and reactions that define the category.
Read MoreThe Approach to Neuromuscular Weakness
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Weakness is a common, though sometimes vague, presenting symptom in the ED. Neuromuscular (NM) weakness can have various causes, ranging from common and relatively easy to diagnose conditions (such as strokes and trauma) to less common and more difficult to diagnose ones (such as vascular pathologies, infections, autoimmune diseases, and neoplasms). This post focuses on how to localize weakness to differentiate types of NM weakness and presents classic cases of diffuse weakness caused by three diseases.
Read MoreBullous Skin Lesions, Meet Emergency Medicine
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While not a daily occurrence in the ED, bullous skin diseases (bullous pemphigoid, pemphigous vulgaris, SJS, SSSS) are critical diagnosis for the Emergency Physician to identify and initiate treatment. Join Dr. Rehfeldt as she parses through them.
Read MoreTherapeutics: Pacing Through Skin and Vein
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Not every bradycardic patient needs a transvenous pacer… but some do! Join Dr. Sookdeo as she parses through when and how to transcutaneously and transvenously pace your bradycardic patients.
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