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Infective Endocarditis

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This post takes a deep dive into infective endocarditis with a focus on diagnosis.
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Journal Review

The ADvISED Trial: A Novel Clinical Algorithm for the Diagnosis of Acute Aortic Syndromes

Filed Under: Tags: , January 4th, 2018 Leave a Comment

Acute Aortic Syndromes (AAS) are life threatening cardiovascular emergencies that are the bane of every emergency physician’s existence.  They are diagnostic challenges due to the clinical presentation being highly non-specific.  Computed tomography angiography (CTA), Transesophageal Echocardiography (TEE), and Magnetic Resonance Angiography (MRA) can help accurately diagnose AAS. CTA exposes patients to radiation and large doses of intravenous contrast,
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Anterior Cruciate Ligament (ACL) Injuries

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This post dives into ACL injuries with a look a focus on making the diagnosis based on the clinical picture.
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Journal Review

Acetaminophen or NSAID for Acute Minor Musculoskeletal Pain

Filed Under: Tags: December 28th, 2017 Leave a Comment

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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Tricyclic Antidepressant Toxicity

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This post dives into the diagnosis and management of TCA toxicity.
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Journal Review

IVC Collapsability As a Predictor of Fluid Responsiveness

Filed Under: Tags: , , , December 21st, 2017 Leave a Comment

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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Small Bowel Obstruction

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This post explores the presentation, diagnosis and management of small bowel obstruction.
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