A 68 yo M with a past medical history of HTN, CKD, CAD and Afib presents to the ED with diffuse abdominal pain x 8 hours.Read more
A high yield summary of this week's postsRead more
Try and reorganize your DDx for syncope into a systems based approach. This week Dr. Lou Argentine spoke on the importance of maintaining a broad differential for all syncope patients to ensure you don’t miss a life threatening illness.
Use an organized/system based approach
Submitted by Louis Argentine MD
A 26 yo M presents to the ED with a chief complaint of R foot pain for 1 month.Read more
As ER physicians, we are greatly limited in what we can do for patients with submassive to massive hemoptysis.
- Our job is to manage the airway (prevent asphyxiation), reverse coagulopathies and provide supportive care
- The definitive therapy is an urgent bronchoscopy with ENT or pulmonology
But what if there was more we could do during the bridging period waiting the specialist on call? Enter tranexamic acid!
Submitted by Chad Simpkins, MD