In the past, vitamin K and FFP were the mainstays of reversing warfarin, but now we have fancy new drugs like four-factor prothrombin complex concentrate (4F-PCCs). 4F-PCCs can rapidly reverse the INR of warfarin induced coagulopathy with less volume and […]
Lower abdominal pain in women can be challenging diagnostic dilemma in the Emergency Department. We had a case of a 50-year-old woman that had been previously seen by her PMD 3 days prior and diagnosed with a “small kidney stone” […]
There was a case report published in the Western Journal of Emergency Medicine last year about interposed abdominal compression CPR (IAC-CPR). Personally, I’ve never heard anything of the sort and had to take a deeper look into it. Essentially, you […]
Newer second generation sulfonylureas are used extensively for treating type-2 diabetes mellitus (i.e. glyburide, glipizide, glimepiride and gliclazide). They are rapidly absorbed and reach peak plasma concentration typically within 2-4 hours; and have a duration of action up to 24 […]
Kids eat up your money in more ways than one. Some may eat it up in the form of $50,000 a year in college tuition and some eat it up as a meal. For coins that get stuck in the […]
I recently gave an “ID Updates” lecture at AAEM’s Scientific Assembly in Las Vegas, February 2016. Here are the top 10 pearls from my lecture. Some may be review, some more cutting edge. Enjoy!
Dr. Rory Spiegel, from EMNerd, wrote a recent piece in Clinical and Experimental Emergency Medicine about how our undying love for left ventricular function in shock patients is perhaps overdoing it and the focus should rather be on the venous return.
Always screen patient for an Afferent Pupillary Defect (APD)! A negative Seidel Test does not rule out a Globe rupture Avoid NSAIDS and aspirin in Hyphemas and Globe Rupture CT Scan of the Orbit is only 56-68% sensitive for identifying […]
ER physicians diagnose CHF often and actually very well on clinical grounds at the bedside. So why are we ordering BNP’s when we already know the diagnosis? The evidence clearly states in which situations the BNP will not help you. […]