A 25 yo female presents with a complaint of abdominal cramping and heavy vaginal bleeding. This is a routine complaint in the Emergency Department and rarely represents a life-threatening emergency....until it does...
The Cooper EM Residency recently hosted a spirited debate on the topic of administering thromblytic therapy during cardiac arrest. Drs. Byrne and Roberts faced off in a duel for the ages! Read on to see the results of the largest randomized controlled trial the "TROICA" study and to see the winner (and loser)!
59-year-old male with prostate cancer status post laser therapy (POD 14) presents with hematuria (bright red blood and clots) and difficulty urinating. Post void residual volume is 400cc. Urinary catheter is placed. Hemoglobin is stable and patient would like to be discharged with follow up with urology in 2 days. Should patients be placed on prophylaxis systemic antibiotics?
Vaginal Cuff Dehiscence and Evisceration After Total Hysterectomy
Incidence of vaginal cuff dehiscence after hysterectomy ranges from 0.14-4.1%.
Risk factors include post-operative infection, radiotherapy, chemotherapy, early return to sexual intercourse, constipation
Surgical emergency with risk of bowel necrosis.
A 63 yo male presents complaining of severe pain to the right shoulder. He has markedly restricted range of motion in the shoulder, without any overlying erythema, edema, or warmth. You take a cursory glance at the xray as you gather supplies to perform an arthrocentesis for suspected septic arthritis...
An 82 yo male presents to the ED complaining of several months of progressive hearing loss in the right ear. For the past 3 days, he can hear a male voice singing opera in the right ear only, 24/7. Read on for a brief discussion of this fascinating phenomenon and how we cured him in 5 minutes!
Check out this lateral film of the wrist. See the fracture? Look again! Surprise...there is no fracture, but this patient has sustained a serious wrist injury with the potential for long term disability. This week we highlight some of the most common missed orthopedic injuries in the ED and suggest a few strategies to minimize the errors.