10 02, 2016

ALiEMU CAPSULES Module 5: Procedural Sedation & Analgesia in the ED

By |February 10th, 2016|Tox & Medications|0 Comments

procedural sedation & analgesiaWe are proud to present CAPSULES module 5: Procedural Sedation & Analgesia in the ED, now published on the Academic Life in EM University (ALiEMU) website. Here is a summary of the key points from this outstanding module by Dr. Zlatan Coralic and Dr. Nadia Awad.

8 02, 2016

Traumatic Brain Injuries in Older Adults

By |February 8th, 2016|Geriatrics, Trauma|0 Comments

Fall Risk - canstockphoto14757614Older adults are at high risk of poor outcomes from even minor head injuries. We see many older patients in the ED who present after a fall or head injury, and we have good decision rules for which patients need brain imaging [1]. However, even patients with mild traumatic brain injuries, who have a negative CT scan, are at risk for mortality and significant long-term sequelae. The CDC has called traumatic brain injuries a ‘silent epidemic’ [2][3]. The first steps to breaking that silence are awareness and recognition.

6 02, 2016

I am Dr. Greg Wanner, Emergency Medicine Resident: How I Stay Healthy in EM

By |February 6th, 2016|Healthy in EM|2 Comments

How I Stay Healthy logoDr. Wanner (@GregWanner) is an emergency medicine resident from Thomas Jefferson University in Philadelphia. Having been a physician assistant educator in EM for several years prior to his residency, he brings a wealth of experience on how to stay well. Despite this busy schedule, he still finds time to keep fit and spend time with this two daughters. Dr. Wanner is a big supporter of “laughter is the best medicine”. Here’s how he stays healthy in emergency medicine!

 

3 02, 2016

Must-Know EM Pharmacotherapy Articles of 2015

By |February 3rd, 2016|Tox & Medications|0 Comments

Top10There is so much literature to sift through each year, it becomes nearly impossible to stay abreast of it. Here is a quick summary of the 10 must-know Emergency Medicine pharmacotherapy articles from 2015, in my humble opinion.

 

 

 

1 02, 2016

PV Card: Adult scaphoid fracture

By |February 1st, 2016|Orthopedic, PV Card|1 Comment

snuffbox tendernessWhat is the most commonly fractured carpal bone in adults? It’s the scaphoid bone. As a bonus it has the dreaded complication of avascular necrosis. So how good are the physical exam and imaging modalities in diagnosing a fracture? What is the likelihood ratio (LR) that snuffbox tenderness predicts a fracture? Bottom lines: The exam is highly sensitive but poorly specific, such that one can only confidently state that a NON-tender snuffbox and scaphoid tubercle essentially rule out an acute scaphoid fracture. Also negative x-rays for patients with scaphoid tenderness still yield a fracture post-test probability of 25%. This PV card breaks down all the LRs [1].