Jason Kan, MD covers the various causes and ED management strategies for severe vaginal bleeding in non-pregnant patients.“PALM-COEIN separates the differential for vaginal bleeding into structural and non-structural causes”
Vaginal Bleeding in the Non-Pregnant Patient Read More »
“There has been ongoing controversy regarding the ratio of components that should be given during massive transfusion”
How do you avoid inducing a coagulopathy in trauma patients requiring massive blood transfusion? Zach Radwine, MD summarizes the recent evidence for the 1:1:1 ratio.
Massive Blood Transfusion Read More »
“Think about these substances in a patient with either an opioid, sympathomimetic, or hallucinogenic toxidrome”
Alex Koyfman, MD summarizes the assorted clinical presentations of these three “legal” highs.
Alternative "Legal" Highs: Kratom, Salvia Divinorum, Methoxetamine Read More »
“Within the next decade, the incidence of CKD is expected to nearly double”
In this article, Matt Smetana, DO describes the common manifestations of hemorrhage in uremic patients, and then outlines strategies to stop the bleeding.
Bleeding in the Patient with Renal Failure Read More »
“Two independent variables associated with post-ETI arrest: Pre-induction shock index and weight”
Intubating beyond the ABCs: Learn how to support your crashing patient while providing definitive airway management. Zach Radwine, MD covers identification of patients at risk for hypotension, dealing with hemodynamic instability, and how to address the numerous complications that may arise.
Intubating the Critically Ill Patient Read More »
“Despite the multitude of studies, the excellent results, and the commonplace use by anesthesiologists for decades, the use of push-dose pressors has not yet made its way into standard emergency medicine practice”
For a patient in shock, or with anticipated instability during procedural sedation, push-dose pressors can be a lifesaver. Brendon Browning, DO covers administration of pressors under circumstances in which central lines and infusions either aren’t available or aren’t needed.
Push-Dose Pressors Read More »
“One of the essential instant recognition abnormalities on ECG”
Knowing how to spot Wellens’ morphology is crucial, but knowing when to expect those ECG changes is the other half of the battle. In this excellent article, Brendon Browning, DO covers the intricacies of this deadly entity, including diagnostic criteria, management pitfalls, and how to identify mimics.
“Hundreds of thousands of cases of hemorrhagic fever yearly”
Kyle Brown, MD discusses dengue (aka “breakbone”) fever in this detailed review, including characteristics of high-risk patients, criteria for making the diagnosis clinically, and current treatment recommendations.
“Some will not have a palpable pulse, and unfortunately, manual BP cannot be obtained. In addition, pulse oximetry is unreliable”
No pulse? No problem! Manpreet Singh, MD covers a stepwise approach to troubleshooting ventricular assist device complications in the emergency department.
Ventricular Assist Device Management Read More »
“Balance between bleeding and thrombosis”
Novel medications like dabigatran and rivaroxaban are increasingly being used to treat patients requiring anticoagulation, but management of bleeding can be a real challenge. Jake Rabe, MD discusses recent trials and reversal strategies.
Novel Anticoagulants and Bleeding in the Emergency Department Read More »
