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Global Health: Chagas Disease
Join Dr. Kotei for a review of an increasingly America-relevant disease but traditionally in the global health archives. For ED clinicians, a high index of suspicion is key — especially when evaluating immigrants or travelers from endemic regions, or their children.
But Can You Just PO?
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.
Diagnostics and Therapeutics: Thoracentesis in the Emergency Department
In 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.