Thanks to Sergey Motov (@PainFreeED) for the expert review at the end of the post.
Acute, minor musculoskeletal injuries (i.e. non-fracture or dislocations) are frequently seen in the Emergency Department. Aside from ruling out a more severe injury, management often focuses on pain relief or mitigation of pain. Though many analgesic agents exist,
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This post dives into the diagnosis and management of TCA toxicity.
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Assessing fluid responsiveness is essential to guiding resuscitation of critically ill patients. Inferior vena cava (IVC) collapsibility measured by point of care ultrasound (POCUS) has been shown to accurately predict fluid responsiveness in mechanically ventilated patients. However, it’s utility in spontaneously breathing patients is less well established.
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This post explores the presentation, diagnosis and management of small bowel obstruction.
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First trimester vaginal bleeding is a common complaint seen in the Emergency Department (ED). Patients are obviously stressed about the possibility of miscarriage while providers are stressed about missing diagnoses such as ectopic pregnancies. There have been multiple studies questioning the interrater reliability of the pelvic examination. But is there added utility to the examination once the presence of an intrauterine pregnancy (IUP) has been established?
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This post explores femoral neck fractures – classification, diagnostics and management.
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Ascites is the most common complication of liver cirrhosis, and infection of that abdominal fluid, spontaneous bacterial perotinitis (SBP) is both common (reported in 10-30% of hospitalized patient) and deadly, with a mortality rate of 10%. SBP can be diagnosed by analysis of ascitic fluid obtained by a simple bedside diagnostic paracentesis, a procedure well within the scope of all emergency medicine physicians.
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