It’s difficult to miss a raging STEMI or a CVA with unilateral flaccid paralysis, but there are other, less-sexy diagnoses that we have the opportunity to make in the Emergency Department that can be as important and impactful to the patient’s health. Endophthalmitis is a difficult word to spell and equally as difficult to diagnose if you’re not looking for it. Check out Dave Traficante’s recent post on EM Resident on Endophthalmitis.
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. Check out the proposed algorithm recently published in EM Resident and let’s put the evidence into real practice.
Post by: Joe Bove, DO ( @jjbove08 )