Richard Byrne, MD
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!
While the Cooper EM residents and faculty not on duty flock to the Eagles Super Bowl celebration parade in Philadelphia, EMDaily presents a brief review by our own Dr. Reid Phillips of two articles examining the efficacy of fresh-frozen plasma for the treatment of ACE-I induced angioedema. Can this simple therapy help prevent an airway disaster? Read on to find out!
The cancer population is at an increased risk for morbidity and mortality from common infections due to their impaired immunity. Knowledge on how to approach the febrile neutropenic patient can have a huge impact on an otherwise horrific mortality rate in this vulnerable population.
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.
Modern immunizations in conjunction with better CT imaging has likely led to declining need for lumbar puncture in the emergency department to evaluate for meningitis and subarachnoid hemorrhage. This may contribute to physician discomfort with the procedure and lower likelihood of first attempt success. This study evaluated whether the addition of ultrasound guidance could increase first attempt success on infant lumbar puncture in the Emergency Department.
Intubation is a potentially dangerous procedure which may result in rapid hemodynamic collapse and cardiac arrest in the critically ill. This week we summarize the results of a large retrospective study to determine the clinical factors associated with cardiac arrest after intubation.
A new class of medications for the management of diabetes (SGLT-2 inhibitors) is challenging our traditional notions of the diagnosis of diabetic ketoacidosis (DKA). Read on for quick pearls on when to suspect so called "euglycemic DKA" in the ED.
You are caring for a sick patient with an acute COPD exacerbation. What O2 sat should you target? What meds should you give? If you have to intubate, what are the issues you'll have to deal with? This week we glean some valuable management pearls for the management acute COPD exacerbations from this month's Internal Medicine module at Cooper.