Therapeutics: Pacing Through Skin and Vein
/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.
Read Moreemergency medicine tamed
Taming the SRU. The SRU is the "Shock Resuscitation Unit." It is a crucible of clinical training for the residents of the University of Cincinnati Emergency Medicine Residency training program.
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.
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 MoreIn this post we examine one of the etiologies behind a frequent ER chief complaint (abdominal pain). Specifically, we take a look at abdominal pain and distention due to ascites, and how to manage ascites in the emergency department with paracentesis procedure.
Read MoreA hernia is described as, “the abnormal protrusion of abdominal contents through a defect involving the normal confines of the abdominal compartments” (9). It often involves a portion of the intestine protruding through a weak point of the abdominal wall. The location and size of the hernia often determines the symptoms and complications that a patient will present with.
There are several risk factors that make developing a hernia more likely. Older patients and those who have had prior abdominal surgery may have weaker abdominal muscles or connective tissue which would make it easier for a hernia to develop. In addition, if there is increased abdominal pressure, such as patients with obesity, or those who participate frequently in weightlifting, this is another factor that may put someone at a higher risk of developing a hernia. Finally, those with poor wound healing, such as people who smoke often or patients with diabetes, may be at risk for incisional hernias. (6)
Read MoreSuccessful airway management is one of the cornerstones of every emergency medicine physician’s toolkit, and tracheostomies can often fall under that category of “difficult” or “scary”. In this post, we aim to familiarize learners with the anatomy of the trach airway and basics of trach tubes as well as teach management and troubleshooting of various complications of tracheostomies.
Read MoreWhen does a blood pressure cuff fall short? Dr. Snyder walks us through the use of invasive blood pressure monitoring and arterial waveform interpretation.
Read MoreLumbar punctures can be a high stress and difficult procedure for many. Dr. Knudsen-Robbins walks us through the optimal setup, performance, and troubleshooting of this procedure, including the ultrasound-assisted LP! Check out this article before your next LP attempt to breeze through this procedure with ease.
Read MoreEstablishing reliable vascular access is absolutely critical for ED patients requiring resuscitation, airway management, or medication administration. However, in at least 10% of patients, blind insertion of a peripheral IV may be unsuccessful for a variety of reasons. In this post, we will review multiple alternative access options, as well as briefly discuss concerns related to PICC lines.
Read MoreReplacing gastrostomy tubes that have fallen out or are no longer functioning is a common procedure in the Emergency Department. Often, these replacements are smooth and easy. There are times however when the replacement process can get complicated with the need to dilate quickly stenosing tracts and/or the need to consult a sub specialist to assist with replacement. This post covers the key historical factors to gather on these patients and the basics steps in replacing the tubes.
Read MorePlacement of a foley catheter is usually a simple process. However when it doesn’t go smoothly, when the foley just won’t seem to pass, there are specific approaches that are needed to successfully catheterize the patient. Suprapubic catheters will also frequently need replacement and troubleshooting in the ED.
Read MoreEar 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.
Read MoreJoin Dr. Qin as she reviews the data behind the hot topics in management of GI bleeding, from use of fecal occult testing, imaging and medications to give.
Read MoreThere are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. This topic is additionally complicated by the development of multiple diagnostic tools now available for diagnosis as well as variable sizing algorithms used around the world. Institutional resources and specialty services may further dictate the management of PTX. This post aims to broadly cover the types of PTX, the diagnostic modalities available, and the ideal management by PTX type in the Emergency Department.
Read MoreEver get an ESR or CRP signed out to you and wonder why they were ordered? Want to use them intentionally and in an evidence-based way? Join Dr. Eric Segev as he takes a dive into the data of inflammatory markers and the pathologies in which they have been studied.
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.