Richard Byrne, MD

Critical Cases - Pericardial effusion!

You are evaluating a patient for abdominal pain the usual way (with a CT of course!) when you discover an incidental pericardial effusion. Quick as a flash you grab your trusty ultrasound and head back to the patient's room, wondering how this effusion got there and what POCUS findings you should be looking for...

Category (Day): 

Critical Cases - Hyperkalemia Emergency!

A 56 year old male presents to the ED with confusion and abdominal pain. You notice a fistula in his upper extremity. A tech hands you his triage ECG and you scrutinize it for the tell-tale signs of a common, life-threatening diagnosis in hemodialysis patients, while wondering what the initial steps in management are....

Category (Day): 

Critical Cases - Refractory SVT in the ED!

You are evaluating a patient with the sudden onset of palpitations. You note a regular, narrow complex tachycardia at a rate of 160 bpm and suspect a reentrant tachycardia. You think "adenosine" but secretly wonder if there is a better option, or what you'll do if this fails....

Topic: 
Category (Day): 

Critical Cases: Not Just an Ankle Sprain! Demystifying the Maisonneuve Fracture

Independently interpreting plain film imaging is an essential skill for the Emergency Medicine provider. Among the most notorious of injuries likely to be missed is the Maisonneuve fracture. In this post we demonstrate the "can't miss" imaging findings to ensure that you don't make the mistake of thinking this is "just an ankle sprain!"

Category (Day): 

Advanced Practice: "Signs and Symptoms You Would Like to be Sued for Malpractice"

Read on for a summary of a lecture from Dr. Richard Byrne on common themes in ED malpractice. Knowledge of the high risk patients and diagnoses is the first and best defense against diagnostic error!

Topic: 
Category (Day): 

Pages