Ultrasound For The Win! Case – 64M with Fever and Scrotal Pain #US4TW
Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this series, we focus on a real clinical case where point-of-care ultrasound changed the management or aided in the diagnosis. In this case, a 64-year-old man presents with acute onset scrotal pain and fever. [+]
Troubleshooting the Crashing Patient with a Tracheostomy
Patients presenting to the ED with respiratory distress and a tracheostomy can unnerve almost any provider, and management is often fraught with preventable errors.1,2 This recognition has led to the development of treatment algorithms from groups including the U.K. National Tracheostomy Safety Project to improve the safety and quality of care for patients with tracheostomies.3 Use the ABC-Ts mnemonic to help you perform a focused tracheostomy evaluation and troubleshoot in a stepwise, systematic manner while waiting for your ENT consultant to arrive. [+]
Infographic: Calcium Channel Blocker Overdose
Calcium channel blocker overdose can produce a deadly toxidrome that requires rapid recognition and intervention. Dr. Joshua C. Feblowitz, a PGY-3 EM resident at the Harvard-Affiliated Emergency Medicine Residency at Brigham and Women’s Hospital and Massachusetts General Hospital, created a high-yield infographic on the symptoms and management of this important toxidrome! [+]
Infographic: Pocket PEM
Pediatric Emergency Medicine can be intimidating for even some of the most seasoned providers, but Drs. Liz Fierro and Natasha Li (both PEM Fellows at Loma Linda University Health) have you covered! Their interactive infographic, Pocket PEM, reminds readers of some core PEM content, including pediatric fever, bronchiolitis, and the crashing neonate. [+]
Liz Fierro, [+]
Infographic: Compartment Syndrome
Compartment syndrome is a true orthopedic emergency, and if you don’t consider it in your differential diagnosis, it can be missed easily! Dr. Katelyn Hanson, a combined EM-IM resident at Jefferson Health, packs the presenting symptoms, causes, and definitions into this flashy infographic. [+]
Infographic: Sepsis and Septic Shock
The definitions of sepsis and septic shock continue to evolve, but the management, including resuscitation and early antibiotics, remains a core skill of any successful EM provider. Dr. Augusto Saldana Miranda reviews these points, adding some parchment flare to his submission. [+]
ALiEMU Capsules Module 10: Concepts in Infectious Disease
We are proud to present Capsules Module 10: Concepts in Infectious Disease, now published on ALiEMU. Here is a summary of the key points from a stellar module by Drs. Meghan Groth and Paul Takamoto. When you’re finished, head over to the Capsules page for even more practical pharmacology for the EM provider. [+]
PEM Pearls: Regional Facial Nerve Blocks
Regional nerve blocks of the face and ear can be a wonderful choice of analgesia in a child, particularly for wounds that need to be repaired. The benefits include fewer local injections, improved cosmesis due to less wound margin distortion, and improved analgesia within the nerve region.1,2 The following blog post and brief video tutorial review the key elements of this technique. [+]
Ashley [+]
12 Must-Know EM Pharmacotherapy Articles of 2017
Welcome to the 4th annual installment of our must-know Emergency Medicine pharmacotherapy articles post, this time for 2017. We summarize some important EM pharmacotherapy articles from the last 12 months. We have tried to focus on articles that you may have missed, but are potentially high-impact for improving clinical practice in the ED. Without further ado, we present the 12 must-know EM pharmacotherapy articles of 2017. [+]
Prochlorperazine, Metoclopramide, and Diphenhydramine for Acute Migraine Headache
The 2016 American Headache Society (AHS) released recommendations on managing adults with acute migraine headaches.1 In the November 2017 EM:RAP LIN Sessions podcast episode that I recorded, I realized that I overgeneralized several statements about anti-dopaminergic agents and the use of concurrent diphenhydramine for akathisia risk reduction. So I wanted to clarify things and share a deeper-dive on the topic, thanks to the constructive feedback and help of headache guru Dr. David Vinson and EM pharmacists Dr. Curtis Geier, Dr. Bryan Hayes, and Dr. Zlatan Coralic. Below summarizes the nuanced thought processes in the anti-dopaminergic treatment of migraines. [+]
Director of Growth, Strategic Alliance Initiative, Center for Innovation and Digital Health
Massachusetts General Hospital;
Chief Scientific Officer, Conductscience.com
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