A 34 year old woman comes to the ER after a few days of nausea, vomiting and diarrhea. She is found to be disoriented and hypotensive, but she isn’t improving with fluid hydration. What gives?
Chad Simpkins, MD
You are working a Sunday shift when the outpatient labs are closed, when a newborn arrives for their bilirubin check. Checking the lab is easy enough but do you know what to do with the result?
The cancer population is at an increased risk for morbidity and mortality from common infections due to their impaired immunity. Knowledge on how to approach the febrile neutropenic patient can have a huge impact on an otherwise horrific mortality rate in this vulnerable population.
In the emergency department, we are often asked by consultants to provide procedural sedation for reductions, suturing and repairs. Here is a cheat sheet to serve as your quick reference guide.
Modern immunizations in conjunction with better CT imaging has likely led to declining need for lumbar puncture in the emergency department to evaluate for meningitis and subarachnoid hemorrhage. This may contribute to physician discomfort with the procedure and lower likelihood of first attempt success. This study evaluated whether the addition of ultrasound guidance could increase first attempt success on infant lumbar puncture in the Emergency Department.
As ER physicians, we are greatly limited in what we can do for patients with submassive to massive hemoptysis.
- Our job is to manage the airway (prevent asphyxiation), reverse coagulopathies and provide supportive care
- The definitive therapy is an urgent bronchoscopy with ENT or pulmonology
But what if there was more we could do during the bridging period waiting the specialist on call? Enter tranexamic acid!