A Week in Review: Dec 11 - 16th

Monday: Back to Basics - Nasal Septal Hematoma

What: blood accumulation between septal cartilage and mucopericondrium

Problem: Necrosis of nasal septum, infection (can spread to CNS)

Treatment: Drainage via superficial incision, topical abx, nasal packing ENT f/u

Tuesday: Advanced Practice - Nebulized TXA for Hemoptysis

Great review of the literature (limited to case reports / series) on using nebulized TXA in hemoptysis.

500mg (IV formulation) mixed with NS in nebulizer canister x 1. Minimal side effects

Wednesday: What's the Diagnosis?

Thursday: #emconf - Can't miss diagnosis for syncope

Quick review of causes of syncope that we need to identify and treat in the ED.

Don't forget about Aortic Disection / AAA, ectopic pregnancy, espcially in the winter CO poisoning

Friday: Critical Care - EMDaily Podcast

A great Podcast about an interesting case: Patient comes in from the dermatologist after a seeming normal outpatient biopsy

Saturday: Board Review - Crystals and Synovitis

Do remember the difference between gout and pseudogout?

How about to determine the difference between inflammatory and infectious synovial fluids.