Diagnostics and Therapeutics: Hypothermia
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Dr. Boyer walks us through nuances and management of the highly morbid condition of severe hypothermia.
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Diagnostics and Therapeutics: Paracentesis in the Emergency Department
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In 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 MoreDiagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures
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Lumbar 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 MoreDiagnostics and Therapeutics: Vascular Access in the Emergency Department
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Establishing 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 MoreDiagnostics: Inflammatory Markers
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Ever 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 MoreDiagnostics: The Shunt Series
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Ever palpate the scalp of an altered patient to find a VP shunt you weren’t expecting? Have a febrile patient and wondering if it could be the cause? Join Dr. Cody Stothers as he dives into a case-based review of Hydrocephalus and VP Shunts
Read MoreDiagnostics: Immunotherapy
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Join Dr. Rodriguez as she presents a simple and informative infographic on the complications of immunotherapy
Read MoreDiagnostics: Inflammatory Bowel Disease
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Just Dr. Hajdu as she examines the complications of Inflammatory Bowel Disease and how to diagnose and treat the most common complications.
Read MoreDiagnostics: Dysnatremias
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Abnormal sodium values are a common finding on basic metabolic testing, however the more deranged the value, the more critical it is to think causation, as interventions to treat the abnormality can become as dangerous as the abnormality itself. Join Dr. Chhabria as she dives into the causations and treatments of dysnatremias
Read MoreTherapeutics: Hemophilia Management in the ED
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Emergent presentations of hemophiliacs are very common, and often the degree of their need for resuscitation needs to be tailored to disease, mechanism and follow up. Join Dr. Grisoli for a just-in-time resource for managing bleeding hemophiliacs.
Read MoreTherapeutics: Platelet Coagulopathy Fixes with ITP, TTP and DIC
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Join Dr. Moulds as she dissects the difficult landscape of thrombocytopenia, where cause is king and sometimes the therapy can be more harmful than watchful waiting. Keep this one in your favorites for the next time a critical thombocytopenic patient rolls in…
Read MoreYour Migraine Cocktail Didn’t Work? Shake it Up!
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You’ve tried prochlorperizine, ketorolac and fluids and are about to triumphantly discharge the patient when they stop you and inform you they’re still in a debilitating pain. What’s your move? Join Dr. Martina Diaz as she reviews second line and alternative therapies in the management of acute headaches.
Read MoreGrand Rounds Recap 12.2.20
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We had a great Grand Rounds with nine lectures!
Dr. Fermann gave us operations updates for the CEC. Dr. Dave Thompson discussed quality improvement, root cause analysis, and the Pareto Principle. Dr. Tillotson walked us through the types of hypertension seen in pregnancy and how to manage these patients. Dr. Walsh found a sandwich in a patient’s airway. Dr. Jarrell discussed the exciting specialty called Social Emergency Medicine. Dr. Koehler showed us how to use a Minnesota tube for massive UGIB. Dr. Milligan discussed complex cardiac devices including IABP, Impella, and LVAD. Dr. Hassani reviewed post partum headaches and evidence on neuroprotective intubation. And lastly, Dr. Gleimer made us exercise our System 1 and System 2 thinking.
Read MoreDiagnostics: Ocular Ultrasound
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Ocular Ultrasound is an increasing presence in the portfolio of specific tests within the Emergency Physicians’s toolbox of early recognition of pathology. Dr. Logan Ramsey takes a dives into the indications and evidence of ocular ultrasound
Read MoreDiagnostics: Flex your D Dimer
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In times of COVID, a Dimer of 3000 is nothing to look twice about, however there was an earlier (and future) time where the D Dimer is the hallmark of pulmonary embolism risk stratification. Dr. Comiskey breaks how how this once dichotomous tool has recent data to increase its specificity in elderly patients, pregnant patients and those with low pretest risk factors. Take a look, and when this whole pandemic is over your quiver will be fuller of Dimer tips.
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