This post reviews the relatively common and often missed Lisfranc injuries.
Read More
Core Content edited by
Core
Lisfranc Injuries
Post
Trust Me.
“Just cut. He’s dead”, my senior resident calmly whispered behind me. I had walked through the crash chest tube hundreds of times in my head. I knew the steps like the back of my hand – fourth or fifth intercostal space, mid-to-anterior axillary line, cut above the rib, bluntly dissect with the Kellys, pop through the pleura,
Read More
Journal Review
Initiation of Inhaled Corticosteroids During Peds ED Asthma Presentations
Asthma is a disease entity that all emergency department (ED) providers are expected to be able to manage both quickly and effectively. This is especially true in the pediatric population, where asthma is both the most common chronic disease of childhood and a leading reason for children to present to the ED.
In addition to mainstay therapies like beta-agonist inhalers and systemic steroids,
Read More
Post
Thoughts to EM Graduates 2017 – Lewis Goldfrank, MD
June marks graduation for thousands of medical residents around the country. This is a special time for residents and educators alike as it marks a major transition point. It’s a good time to reflect on who we are, what we do and, where we are going. Every year, Dr. Lewis Goldfrank gives an address to the residents,
Read More
Journal Review
Validation of the Step-By-Step Approach to Febrile Infants
Fever without source in infants less than three months old presents a difficult diagnostic dilemma for ED physicians. Over the past 25 years several algorithms have been developed to help guide clinicians, most notably the Rochester, Philadelphia and Boston Criteria, in determining which infants require admission vs. outpatient management. These studies were designed published between 1992 and 1994 prior to the wide spread use of HiB and pneumococcal vaccines in children,
Read More
Core
Environmental Hyperthermia
Severe hyperthermia is life-threatening but easily managed if it is identified rapidly and the patient is aggressively cooled.
Read More
Journal Review
Impact of Disposition on Outcomes and Utilization on ED Chest Pain Patients
Within the US, chest pain is the most common etiology for observation and short inpatient stays. Patients are admitted to assess for the presence of serious pathology including acute coronary syndrome (ACS). To decrease short inpatient stays, institutions have transitioned to observational status and those patients are considered outpatients. The impact of this change on resource utilization and patient outcomes continues to be unclear.
Read More
