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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Cardiac arrest is common occurrence effecting > 300,000 Americans each year and with a generally dismal prognosis (survival rate 7-9%). Currently, there is an absence of evidence or guidelines to aid physicians’ regarding the timing of resuscitation termination when patients do not obtain return of spontaneous circulation (ROSC). Point-of-care ultrasound (POCUS) has been useful in other critical patients such as in trauma or undifferentiated shock.
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Thanks to Rory Spiegel for providing peer review for this post.
This post is cross-posted on REBEL EM.
Ureteric (renal) colic is a common, painful condition encountered in the Emergency Department (ED). Sustained contraction of smooth muscle in the ureter as a kidney stone passes the length of the ureter leads to pain.
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A quick and simple algorithm to address the presentation of vaginal bleeding in the ED.
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Pulmonary embolism (PE) kills 100,000 people in the United States each year making it the second most common cause of sudden, unexpected, nontraumatic death outside of the hospital. PE-related deaths can be unexpected because it can present with minimal symptoms, vague symptoms, difficulty breathing, syncope, or sudden-death. Among ED patients with PE, about 3%-4% have had a syncopal event.
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Calcanus fractures are relatively uncommon but knowledge of appropriate diagnostics and management is core EM.
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I often joke about the first time I ran Side1 as the sole resident. It’s a rite of passage here in our program. During our adult Emergency Medicine months, every so often, one of the interns is responsible for holding down the fort on Side1 in the Bellevue ED during the weekend. To those who are unfamiliar,
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