For most of this site’s readers, first year of med school is well in the past. You’ve moved on from the monotony of books and PowerPoints to the revelation of actual cases. You see the subtle connections between text and reality, develop pattern recognition, and learn how medicine actually works. If you entered medical school expecting to heal the world,
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Refractory ventricular fibrillation (VF) is very difficult to manage. Up until recently, emergency providers were limited to defibrillation and delivery of high quality CPR as well as amiodarone administration. However, a couple of recent trials have given us food for thought about two possible additional treatments. The first treatment, dual sequential defibrillation has been investigated in retrospective case series and has shown potential for benefit.
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This post reviews fractures of the shaft of the femur with a focus on critical pieces of ED management.
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The evaluation and management of venous thromboembolism (VTE) in the Emergency Department (ED) is fraught with questions: who should I evaluate, who should get a d-dimer, what should the d-dimer threshold be etc. Answers, unfortunately, are far less common. Due to the enormous volume of literature produced on the topic, it can be difficult for individual clinicians to incorporate all of the information into a comprehensive approach.
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This post reviews the presentation and management of penetrating neck injuries.
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This analysis was originally posted on REBEL EM here
Bronchiolitis is an acute inflammatory injury of the distal smaller airways, most commonly caused by viral infections. There have been a host of medications studied in the treatment of bronchiolitis, including steroids, albuterol, epinephrine, and inhaled hypertonic saline, with none proving to be effective in treatment.
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This post explores neutropenic fever with a focus on the evaluation, work up and management.
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