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…
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.
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Author: Dr. Stephen Gore
In the spirit of antibiotic stewardship and limiting the side effects of said antibiotics, we took a critical look during our last Journal Club session at the utility of urinalyses, urine cultures and vague symptoms like confusion/altered mental state in diagnosing UTI.
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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…
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…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…
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…
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.”
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Author: Dr. Nupur Shah
Article: Comparison of Two Glycemic Discharge Goals in ED Pts with Hyperglycemia, a randomized trial.
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Author: Dr. Shayna Adams Background: The paper validates a prediction rule that aims to identify kiddos with intra-abdominal injuries after blunt trauma. The prediction rule was derived from a previous study that looked at about a thousand children and found six factors to be related to intra-abdominal injury. In order to trigger the prediction rule, the kiddo…