#EMconf: Do Trigger Point Injections Improve Musculoskeletal Pain?

Thu, 03/16/2017 - 6:03am

Have you ever attemped a trigger point injection to improve your patient's musculoskeletal pain? Did it help? This week for his Critically Appraised Topic, Dr. John Cafaro investigated some of the literature on the effectiveness of trigger point injections for patients suffering from musculoskeletal pain.

Submitted by John Cafaro MD

What's the Diagnosis? Case by Erica Schramm

Tue, 03/14/2017 - 10:13pm

25 year-old female presents following a fall from her horse 5 days ago. She complains of severe pain in the radial aspect of her right wrist and has no other injuries. Plain films at an outside ED immediately following the injury were negative and repeat plain films are shown here. What’s the diagnosis?

Tue, 03/14/2017 - 5:00am

Do you routinely perform large volume (or near large volume) paracentesis in your ED? If so, you need to know about a potentially life-threatening complication of this procedure...

Submitted by Eric Gruber, MD

NIPPV in Acute Cardiogenic Pulmonary Edema – CPAP or BiPAP?

Mon, 03/13/2017 - 5:00am

Are all modes of non-invasive positive pressure ventilation (NIPPV) created equal for the treatment of acute cardiogenic pulmonary edema? Perhaps not.

Submitted by Blake Siglock, MD

A Week in Review: March 6th - March 10th

Sun, 03/12/2017 - 2:14pm

A high-yield review of the past week from EMDaily

EMDaily Board Review Question 5 with Dr. Joseph Cesarine

Sat, 03/11/2017 - 9:40am

An 80 year old male with history of hypertension, IDDM, and CML presents with acute onset confusion and left-sided weakness. The patient has no signs of trauma and is currently afebrile.

Fri, 03/10/2017 - 10:24am

Which is better for the brain injured patient, mannitol or hypertonic saline?

Submitted by Kara Huston, MD

#EMconf: Rest or early activity for post-concussive children?

Thu, 03/09/2017 - 6:39am

Do you routinely recommend rest for your post-concussive pediatric patient? You may reconsider this adivce. This week Dr. Lou Argentine reviewed this clincal question for his critically appraised topic.

Submitted by Louis Argentine MD

Advanced Practice: A Cold Abscess?

Tue, 03/07/2017 - 6:00am

A 34 year old Vietnamese male presents with complaint of neck swelling. It began one month ago and worsened over the past few days. He endorses fatigue and a mild weight loss. Exam shows an indurated, non mobile mass without tenderness or erythema. You order imaging and are concerned for TB but unsure what to do next.

Submitted by Stephanie Wilsey, MD

Back to Basics: Lower GI Bleeds

Mon, 03/06/2017 - 5:00am

What may appear (and smell) impressive in the ED does not always require emergent intervention, yet understanding how to determine the severity of lower gastrointestinal bleeding, need for aggressive resuscitation, and diagnostic/consultant resources are key for the emergency provider.