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SMACC Dublin Registration Opens This Week!

Resident Updates Tags: , Anand Swaminathan, MD Leave a Comment

The Social Media and Critical Care (SMACC) Conference is entering it’s 4th year and will be in Dublin from June 13th – 16th, 2016. That’s right, the conference is returning to the land of Guiness and Mike Cadogan – one of the fathers of the FOAM movement. This conference offers the rare opportunity to unite a number of fields in medicine (EM,
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Journal Review

H. pylori Testing in the ED

Filed Under: Tags: , , October 22nd, 2015 Leave a Comment

Abdominal pain is the most frequent presenting symptom in US emergency departments. The current standard care in the ED for upper abdominal pain involves ruling out severe causes (i.e. biliary disease, perforated viscous etc) and consideration of empiric gastric disease treatment with histamine blockers, antacids, or proton-pump inhibitors.

H. pylori is a bacterium that infects the stomach causing dyspepsia.  
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Core

Ventricular Tachycardia

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Ventricular tachycardia is a potentially lethal dysrhythmia. Expert management is a critical skill for Emergency Physicians.
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Journal Review

Dopamine vs. Epinephrine in Pediatric Septic Shock

Filed Under: Tags: , , October 15th, 2015 5 Comments

Background: Patients with fluid refractory septic shock should be treated with vasoactive medications to improve perfusion. It has become widely accepted in recent years to use norepinephrine as the first-line vasopressor in adults with septic shock. In children, however, there is little research to guide our choice of agent. Dopamine has been used as the first-line agent in children though it has fallen out of favor in adults.
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Core

Pharmacology of Insulins

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Insulins are commonly administered in the ED and a comprehensive understanding of their pharmacodynamics is vital.
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Cases

October 2015

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Refusing to bear weight on left leg x2 days
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Journal Review

Age Adjusted D-dimer in PE – The ADJUST-PE Study

Filed Under: Tags: , October 8th, 2015 Leave a Comment

 Background

Acute pulmonary embolism (PE) is a common disease associated with high degrees of morbidity and mortality. The D-dimer assay has the potential to be a valuable test in the workup of PE as it is sensitive for thrombus formation. Unfortunately, specificity is low and indiscriminate use can lead to increased advanced imaging.
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Core

Lunate Dislocation

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Lunate dislocations are unusual but have severe morbidity associated with them if the diagnosis is delayed or missed.
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