Tue, 04/04/2017 - 5:00am

Delivering a baby in the emergency department is far from ideal and although all usually goes well, you need to be prepared in case it doesn’t. Shoulder dystocia gets a lot of hype because of those fancy corkscrew maneuvers, so instead of that we’re going to talk about another dreaded complication, post-partum hemorrhage.

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Mon, 04/03/2017 - 5:00am

Acetaminophen (Tylenol, Paracetamol, APAP) is a commonly used analgesic and antipyretic agent found in many over the counter and prescription medications.  It is one of the most common toxic exposures responsible for an estimated 450 deaths annually in the United States, and it is the most common cause of acute liver failure in the United States.

 

 

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Sat, 04/01/2017 - 10:52am

Check out this great post from Dr. Michelle Lin from ALiEM about ABEM Oral Board Preparation including a video series from the University of Maryland Department of Emergency Medicine!

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Fri, 03/31/2017 - 8:00am

Use a tidal volume of 6-8 cc / kg (ideal body weight) when ventilating your patient...even when they are obese

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Thu, 03/30/2017 - 6:43am

Are you maximizing your technique to provide optimal CPR?  This week Dr. Brian Roberts shared excellent take-home tips to remember when performing CPR.  

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Wed, 03/29/2017 - 8:00am

Patient suffered an assault to the face. What's the diagnosis?

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Tue, 03/28/2017 - 6:52pm

Pericardiocentesis is a rarely performed, but potentially life-saving procedure. Commerical models are prohibitively expensive, but students and residents (and critical care fellows) still need to learn the mechanics, ideally with an ultrasound compatibile model. This week's post gives a step by step guide towards making a cheap, easy to fabricate phantom based on this fantastic paper published in the Journal of Emergency Medicne 2012: https://www.ncbi.nlm.nih.gov/pubmed/21925818

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Mon, 03/27/2017 - 5:00am

Chvostek’s sign is momentary contraction of the nose and/or lips in response to tapping the facial nerve at the angle of the jaw.  Associated with hypocalcemia, it has been found to be poorly sensitive and specific.  It is seen in 10-25% of healthy individuals with normal calcium levels, whereas approximately one third of patients with hypocalcemia will not demonstrate this sign.

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Sat, 03/25/2017 - 12:34pm

You are evaluating a patient who is having massive bleeding from his tracheostomy. The nurse reports that per chart review, the patient underwent planned tracheostomy five days ago.

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Fri, 03/24/2017 - 11:33am

A postion paper from 2011 offers some guidance on this question.

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