This post explores the diagnosis and management of croup.
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Croup (Laryngotracheobronchitis)
Journal Review
Topical TXA in Epistaxis
Epistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% (Gifford 2008, Pallin 2005). Standard anterior epistaxis treatment consists of holding pressure, use of local vasoconstrictors, topical application of silver nitrate and placement of an anterior nasal pack. ED patients with epistaxis often fail conservative management and end up with anterior nasal packs which are uncomfortable.
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Core
Acute Mountain Sickness
This post focuses on the presentation, diagnosis and management of the spectrum of AMS.
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Journal Review
Infusion Versus IV Push Low-Dose Ketamine for Analgesia
Sub-dissociative dose ketamine in the ED for treatment of pain is gaining recognition as an adjunct or alternative to opioid analgesics. Previous research from this group and others have demonstrated a role of low dose ketamine (0.1-0.3 mg/kg IV) as opioid sparing analgesic.The major issue with wider ketamine use is its adverse effects; the feeling of unreality,
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Upper GI Bleeding
This post is an overview of upper GI bleeding with a focus on treatment
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Journal Review
Opiates in Extremity Injuries
Since 2000, there have been over 500,000 opioid related overdose deaths in the US. (Burke 2016). Despite the epidemic of opioid deaths, these drugs continue to be used as first line agents for treatment of moderate to severe pain in Emergency Departments (EDs). While demonstration that ED use of an opiate causes future abuse and morbidity/mortality does not exist,
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Core
Pacemakers: Basic + Advanced Concepts
This post deals with the basics of pacemakers as well as advanced management concepts
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Journal Review
CCTA in the Evaluation of Chest Pain: 1-Year Outcomes
Cardiac CT Angiography (CCTA) is a promising imaging technique that detects stenosis of the coronary arteries quickly and accurately. It can also detect other causes of chest pain when patients present to the emergency department (ED). Several studies have shown that patients with normal cardiac CCTA results are at low risk for adverse events (Oostema 2012).
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