Syncope, the sudden, brief loss of consciousness followed by spontaneous, complete recovery is a common presentation to the Emergency Department (ED). It represents a significant portion of overall admissions to the hospital because while many cases are benign (i.e. vasovagal syncope), some may result from a life-threatening cause (ventricular tachydysrhythmia, myocardial ischemia, gastrointestinal bleeding etc).
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Journal Review
Predicting Dysrhythmia after Syncope
Journal Review
Prospective Validation of the HEART Score
Chest pain representing acute coronary syndrome (ACS) is the most common reason patients presenting to the emergency department (ED) are admitted to the hospital. The treatment for ACS is early targeted therapy and missed cases results in increased morbidity and mortality. As a result many clinicians choose to admit patients for further evaluation, resulting in further testing and higher medical costs.
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Core
Hyperglycemic Hyperosmolar Syndrome
This post discusses the clinical presentation of HHS and the emergency management that needs to be rapidly applied.
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Journal Review
Safety of PE Treatment with Rivaroxaban
The simplified PE Severity Index (sPESI) is one of several validated prognostic tools for acute pulmonary embolism (PE). The European Society of Cardiology recommended the use of the sPESI to risk-stratify patients with acute PE into low risk (sPESI=0) and non-low risk (sPESI≥1) in order to guide treatment and disposition (Konstantinides 2014). Systematic reviews and meta-analyses have found that outpatient management of low-risk PE patients with standard therapy is safe,
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Core
Septic Arthritis
Take a deep dive with us into the diagnosis and management of septic arthritis.
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Post-It Pearls 11.0
Teaching on a clinical shift can sometimes be difficult: it’s busy, everyone’s running around and it’s hard to capture a trainees attention. Recently, on twitter, Amal Mattu (@amalmattu) has been posting pictures of his white board teaching: discrete pearls written down and shared with anyone who walks by. The pearls are often prompted by patients presenting during that shift but they don’t have to be.
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Journal Review
Outcomes of Pediatric Patients with Tachycardia at Discharge
Tachycardia is a very common abnormal vital sign in the Pediatric Emergency Department (ED). Tachycardia can have numerous underlying causes including less concerning clinical states such as fever, pain, and anxiety but can also be a sign of impending cardiovascular decompensation which occurs in shock, sepsis, and cardiac dysfunction.
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