Thu, 01/05/2017 - 11:43am

Your patient in the Emergency Department has a Zone II or Zone III finger amputation which requires primary closure of the wound prior to discharge with appropriate outpatient follow up. However, a protruding piece of bone often prevents closure of the skin flap and requires trimming by using a rongeur. While this process is typically carried out by an orthopedic or hand surgical consultant, this post aims to introduce the use of a ronguer during management of finger amputation in the Emergency Department.

Read more
Wed, 01/04/2017 - 12:59pm

Case: A six week-old previously healthy, term infant via vaginal birth is brought to pediatric ED for repeated episodes of vomiting over a one week period. Vomiting occurs 20-30 min following every episode of feeding and is described as projectile. Parents note decreased urine output over the past two days. Patient is noted to be hungry following vomiting episodes

Read more
Tue, 01/03/2017 - 12:14pm

Dynamic hyperinflation (autoPEEP, air trapping, etc.) is a process leading to an increase in end-expiratory lung volumes and increased airway pressures. This process may occur secondary to obstructive lung pathology and/or an increase in minute-ventilation without sufficient time for expiration. The pathologic effects of dynamic hyperinflation include an increased work-of-breathing, barotrauma, pneumothorax, and an increase in intrathoracic pressure leading to a decrease in cardiac output and possible hemodynamic collapse. Rapid identification of this process is crucial for reversing it.

Read more
Mon, 01/02/2017 - 12:08pm

You have made the diagnosis of disseminated gonococcal infection in your patient presenting with history and physical exam findings suggestive of purulent arthritis, now what?

Read more ,
Sun, 12/25/2016 - 5:42pm

Thank you to everyone who has contributed to and enjoyed EMDaily. We are all looking forward to a great year in 2017. Come back in 2017 for more exciting FOAMed from EMDaily. Happy New Year!

Read more
Sat, 12/24/2016 - 6:10am

The most commonly used induction agent for rapid sequence intubation in the acutely injured patient is etomidate, largely due to its rapid onset of action and hemodynamically "neutral" effects.

Read more
Fri, 12/23/2016 - 6:29am

A high-yield introduction to the use of ECMO in hypothermic patients!

Read more
Thu, 12/22/2016 - 3:29pm

This post aims to shine a light on a possibly emerging use of bedside ultrasound.

Read more ,
Wed, 12/21/2016 - 10:47am

Case: A 2 year-old male with no significant PMH is brought to the Emergency Department by his mother for intermittent abdominal pain for

Read more
Tue, 12/20/2016 - 6:54am

It’s another busy shift in the Emergency Department and you are seeing the third patient of the day in atrial fibrillation with rapid ventricular response. You think to yourself, “simple plan and disposition: stabilize, start on a diltiazem infusion, anticoagulate and admit to cardiology, right?” Well before you proceed with this well accepted approach, consider an alternative management strategy where you can even discharge the patient home!

Read more

Pages