Top 10 Infectious Disease Updates
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!
Stressed vs unstressed volume
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.
Top 10 Eye Emergency Pearls
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 a Globe Rupture, so don’t solely rely on it for the diagnosis! Order a Sickle …
The Clinical Utility of BNP in Acute CHF
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 …