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Recent-Onset Atrial Fibrillation

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Recent-onset AF is a common presentation in the ED. In this post we discuss management options, anticoagulation + disposition.
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Journal Review

Irrigation of Cutaneous Abscesses

Filed Under: Tags: , , May 12th, 2016 Leave a Comment

Irrigation after incision and drainage (I+D) of an abscess in the ED is considered by some sources to be standard care but local practice varies considerably. There are no randomized controlled trials to date that look at the potential benefits of this procedure. Irrigation increases the time required for the procedure and increases pain experienced by the patient.
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Journal Review

Rocuronium or Succinycholine for RSI in TBI

Filed Under: Tags: , , , May 5th, 2016 Leave a Comment

Airway management is a critical part of the management of patients presenting with traumatic brain injury (TBI). Emergency Physicians (EPs) have no ability to change the primary injury once it has occurred and so our focus is on preventing secondary brain injury. Hypoxemia and hypercarbia are major contributors to morbidity and mortality and management must focus on preventing them.
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Cellulitis

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This post reviews the basics of ED cellulitis diagnosis and management
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Journal Review

Sensitivity of NCHCT < 6 Hours After Symptom Onset in Suspected SAH

Filed Under: Tags: , , , April 28th, 2016 Leave a Comment

Thanks to Salim Rezaie (@srrezaie) for peer-reviewing this post.

Acute headache is a common emergency department presentation that accounts for 1-2% of all encounters (Goldstein 2006) The differential includes many life-threatening diagnoses, one of which is aneurysmal subarachnoid hemorrhage (SAH). With an estimated overall prevalence of 2% and a 1-month mortality of 40-45%,
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Acute Cholecystitis

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This posts reviews the presentation, diagnosis and management of acute cholecystitis.
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Journal Review

Adverse Events in Procedural Sedation and Analgesia

Filed Under: Tags: , April 21st, 2016 Leave a Comment

Emergency Department (ED) patients frequently present with injuries and disease requiring procedural sedation and analgesia (PSA). PSA is a core skill for Emergency Physicians (EP) and acts to relieve pain and anxiety for patients. The procedure involves providing sedative and analgesic agents in order to allow EPs to effectively perform critical procedures from joint reduction to incision and drainage of abscesses to laceration repairs to preoxygenation.
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Tibial Plateau Fractures

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In this post we review the presentation, diagnosis and management of tibial plateau fractures.
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