Category Name: practice updates

practice updates

Anaphylaxis: Where do we go wrong and how can we improve?

Allergic reactions are commonly seen in the emergency department and anaphylaxis is the most severe type. While most patients present with a rash, the diagnosis can be difficult to make when a rash is not present. This is a brief overview of the diagnosis and management of anaphylaxis in the emergency department.

PEM Playbook

PEM Playbook – Altered Mental Status in Children

Altered mental status in children can be subtle. Look for age-specific behaviors that range from irritability to anger to sleepiness to decreased interaction. In the altered child, anchoring bias is your biggest enemy. Keep your mind open to the possibilities, and be ready to change it, when new ...

practice updates

Inflammatory Bowel Disease in the Emergency Department

IBD consists of Crohn’s Disease and Ulcerative Colitis. These two diseases and their complications can have significant morbidity. This post provides pearls and pitfalls in the emergency medicine evaluation and management of these patients.

practice updates

Ear, Nose, and Throat Foreign Bodies

Foreign bodies of the ear, nose and throat are commonly seen complaints in emergency department, namely the pediatric emergency department. This is a brief review of some commonly seen foreign bodies and how to remove them safely.

practice updates

In Vitro Fertilization Patient and ED presentations: Pearls and Pitfalls

Assisted Reproductive Technologies (ART) allows for gamete manipulation outside the body and includes in vitro fertilization (IVF). ART is gaining in popularity. These patients are monitored closely by a gynecologist, however certain dangerous illnesses may bring these patients to the emergency department. This post will review the basics of ART and its complications.

practice updates

Rheumatoid Arthritis: Management and Complications in the ED

Rheumatoid arthritis is a progressive systemic polyarticular inflammatory arthritis of unclear etiology. While the disease itself is not fatal, complications of the disease make it the most common rheumatic disease requiring ICU admission. This article covers the management of this disease and its complications in the ED.

practice updates

FOAMed Resources Part VII: Medical Education and Simulation

All physicians are teachers. However, becoming a great teacher does not occur overnight, and in the stressful setting of the ED, it can be difficult to educate those around you. This part of the FOAMed series looks at resources geared towards education and simulation.

practice updates

Chronic Liver Disease and Hemostasis

Patients with chronic liver disease typically have elevated INRs and thromocytopenia. Thus, clinicians may believe that blood clots are not possible in this patient group. This is a brief review of hemostasis in liver disease and why blood clots can occur even with low platelet counts and elevated INRs.