Aortic Dissection

Intro We had an awesome lecture by Dr. K Gore this past week–this blog is a quick review of her lecture on aortic dissection. Background An aortic dissection (AD) is a tear into the intimal layer of the aortic wall. It is commonly described as a “tearing” chest pain that radiates to the back–which is

Acute Valvular Emergencies

Author: Dr. Catherine Buckley

When I think of patients with valvular disease in the setting of the emergency department, it is frequently the acute on chronic picture. For instance: the Aortic stenosis patient with significant worsening of their fluid overload symptoms because of sepsis. What I typically don’t imagine is diagnosing or treating brand new valvular emergencies. Thank goodness for didactics! We are going to briefly review acute Mitral Regurgitation and acute Aortic regurgitation based on a wonderful talk given by Dr. Yelena Dukarevich. 

Pediatric DKA

Author: Dr. Trevor Landas I’m not sure about y’all but I honestly have not seen too many pediatric DKA patients. I’m assuming it probably has to do with thorough screening, but it’s important to know how it is managed because it has a couple nuances that are different than the treatment of adult patients. Definition

Mushroom Toxicity

As we approach the end of Italian Truffle hunting season (according to google…) let’s talk about some of the toxicology of Mushrooms based on a brief talk from our tox boss Dr. Swoboda. Most often, inedible and even edible (but decomposing…) mushrooms cause a syndrome of abdominal pain, nausea, vomiting, and diarrhea. Typically this starts

Kidney Stones

Kidney stones…where to start. They’ve been described as “more painful than childbirth” (I can’t confirm as I’ve been fortunate enough to not had a kidney stone…or given birth) and are responsible for >1 million ED visits per year. In this wonderful blog post we will cover what you, as an ED physician, need to know

Transplant Emergencies

Author: Catherine Buckley MD Working in the ED of a hospital that performs transplants means that you see a lot of people that are pre-, post-, post-and-pre-again-transplant. We are very very lucky that the transplant teams at Rush are very involved and involved early. In fact we are so lucky that transplant surgeon Dr. Edie

Cognitive Bias and Decision Making

Author: Dr. Dave Hill

Thinking about a recent M&M case and the roles that bias plays in how patient care is delivered, I don’t think I could say it better than the Drs. at EM Ottawa (emottawablog.com).

“Clinical decision making is an extremely complex process, and healthcare professionals often develop adaptive mechanisms [heuristics or biases] as we are faced with repeated similar experiences in a busy clinical environment.”