Gastroenterology

#EMConf: Inflammatory Bowel Disease in the ED!

Last week the Cooper EM residents received a primer on the approach to the patient with IBD in the ED from our own GI fellow Krysta Contino. This week will focus on the basic approach, and next week we will take a deeper dive into specific complications that every ED doc needs to know about!

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Advanced practice: Bariatric surgery complications

roux en y

Obesity is a problem in the United States. More and more patients are receiving bariatric surgery, resulting in a predictably higher volume of patients seeking care in the ED for complications of surgery. Read on to learn more about some of the potentially devastating complications of the most common bariatric procedure: the roux-en-y bypass.

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"HUGS" as a Novel Treatment for Gastroparesis

It’s the end of a long night shift and you are about to see your next patient triaged as “known history of gastroparesis, presenting with intractable nausea and vomiting.” You know you are in for a rough battle ahead without any good pharmacological choices for treatment.  Enter HALOPERIDOL.

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#EMconf: Antibiotics Necessary for Uncomplicated Diverticulitis?

Patients suffering from uncomplicated diverticulitis are generally prescribed oral antibiotics but does it improve outcomes?  This week for his critically appraised topic,  Dr. Reid Phillips investigated whether antibiotics improve recovery time or complication rate in uncomplicated diverticulitis.  

Back to Basics: Acetaminophen Overdose & Management

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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Advanced Practice - Paracentesis-induced circulatory dysfunction (PICD)

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...

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Back to Basics: Lower GI Bleeds

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.

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