Take a deep dive with us into the diagnosis and management of septic arthritis.
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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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Core
Slipped Capital Femoral Epiphysis (SCFE)
This post delves into the diagnosis and management of SCFE.
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Journal Review
Impact of US Guided Cardiac Arrest Resuscitation on Compression Pauses
The provision of high-quality compressions with minimal interruptions is central to the management of cardiac arrest. Along with defibrillation, high-quality compressions are the only interventions proven to improve patient-oriented outcomes. Recently, point-of-care ultrasound (POCUS) has gained greater use in cardiac arrest care for determination the cause of arrest as well as guiding the resuscitation and interventions.
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Core
Prophylactic Antibiotics in Nasal Packing
Is it necessary to provide prophylactic antibiotics for anterior nasal packs? Standard teaching says yes but the data isn’t so supportive.
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Journal Review
Amiodarone in Cardiac Arrest – Systematic Review + Meta-Analysis
In 2016 the annual incidence of out-of-hospital cardiac arrest (OHCA) in the United States was roughly 360,000 and 209,000 for in-hospital cardiac arrest (IHCA) (Mozaffarian 2016). Though survival rates are relatively dismal, arrests in the setting of shock amenable rhythms – ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT) – have an overall better rate of return of spontaneous circulation (ROSC).
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