Paucis Verbis card: Hyperkalemia management

Hyperkalemia is a common presentation in the Emergency Department, especially in the setting of acute renal failure. In one shift, I had 4 patients with hyperkalemia! All had from some form of renal failure.

This installment of the Paucis Verbis (In a Few Words) e-card series reviews the treatment options for hyperkalemia.

PV Card: Hyperkalemia


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Weisberg L. Management of severe hyperkalemia. Crit Care Med. 2008;36(12):3246-3251. [PubMed]
By |2021-10-19T19:04:37-07:00Mar 12, 2010|ALiEM Cards, Endocrine-Metabolic|

Paucis Verbis card: Aneurysmal subarachnoid hemorrhage

Atraumatic subarachnoid bleeds are most commonly caused by ruptured intracranial aneurysms.

This installment of the Paucis Verbis (In a Few Words) e-card series reviews the current management, knowledge, and challenges in aneurysmal subarachnoid hemorrhage (SAH).

PV Card: Subarachnoid Hemorrhage


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Edlow J, Malek A, Ogilvy C. Aneurysmal subarachnoid hemorrhage: update for emergency physicians. J Emerg Med. 2008;34(3):237-251. [PubMed]
By |2021-10-19T19:03:54-07:00Mar 5, 2010|ALiEM Cards, Neurology|

Trick of the trade: Irrigation scalp wound photos

I mentioned from an earlier post about building a “head basin” for collecting irrigation fluid prior to wound closure. This basin prevents a deluge of fluid from soaking the gurney sheets and patient.

I finally managed to capture this trick in action, while a student was irrigating an eyebrow laceration.

Pearl

When cutting out a semi-circular or rectangular hole in the basin, be sure that there remains a 2-4 inch lip at the bottom to ensure that fluid can collect in the basin.

By |2019-02-19T18:53:55-08:00Mar 3, 2010|Tricks of the Trade|

Great teaching video: Cell and flare

SlitLamp-1

Using the slit lamp can be a challenge to learn, especially if you haven’t seen pathology before. In checking for anterior uveitis (i.e. iritis), you need to look for “cell and flare”. In theory, you know that you are looking for inflammatory cells and “flare”, which resembles a light beam being filtered through smoke.

(more…)
By |2019-01-30T11:38:44-08:00Mar 2, 2010|Ophthalmology|

Paucis Verbis card: NIH Stroke Scale

StrokePatients present with acute strokes to the Emergency Department. Time is of the essence to obtain a rapid neurologic exam, draw labs, get CT imaging, and consulting a neurologist especially if the patient presents within 3 hours of onset. To help the neurologist determine whether the patient should get thrombolytics, calculating a NIH Stroke Scale score is useful.w

In this installment of the Paucis Verbis (In a Few Words) e-card series, here is the NIHSS scoresheet.

Score 0No stroke
Score 1-4Minor stroke
Score 5-15Moderate stroke
Score 16-20Moderate-severe stroke
Score 21+Severe stroke

PV Card: NIH Stroke Scale


Go to ALiEM (PV) Cards for more resources.

By |2021-10-19T19:07:03-07:00Feb 26, 2010|ALiEM Cards, Neurology|
Go to Top