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 MoreDr 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 MoreTumor 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 MoreNot 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 MoreFluid 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 MoreDr. Dixon walks us through an overview of sarcoidosis and the many complications we must look out for in the emergency department.
Read MorePersistent 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 MorePneumomediastinum 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 MoreVenous 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 MoreBlood 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 MoreWeakness 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 MoreWhile 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 MoreNot 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.
Read MoreDr. Boyer walks us through nuances and management of the highly morbid condition of severe hypothermia.
Read MoreIn this post we examine one of the etiologies behind a frequent ER chief complaint (shortness of breath). Specifically, we take a look at pleural effusions and how to manage them in the emergency department with thoracentesis procedure.
Read MoreSRU (pronounced "shrew") = Shock Resuscitation Unit
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
Training in, and managing, the SRU is one of the crown jewels of our residency. It is where the sickest of the sick patients are found in our ED. It is a crucible, a test of knowledge and strength, and a true manifestation of the tripartite mission of our department: Leadership, Excellence, and Opportunity.
