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!
A 28 year old female presents with right eye pain. She wears contact lenses and reports falling asleep with them in for the past few days. On fluroscein examination, you note a lesion that does not look like a typical abrasion. You wonder if this could be a corneal ulcer and what the appropriate treatment may be?
Facial paralysis can be challenging for both the patient and provider: remember to include Ramsay Hunt on your differential!
It can be frustratingly difficult to obtain hemostasis in bleeding dialysis fistulas. Here are some pearls to help you next time you see this patient!
Whereas the dosing of sedative medications is usually unaffected, the chief concern is whether there should be changes for neuromuscular blockade – will your patient with myasthenia gravis require a higher or lower dose of your selected paralytic?
Your Myasthenia Gravis patient looks quite short of breath. You know that there are some tests which can help guide your management, but can't quite remember the name....
A nurse yells out that a woman is exsanguinating from her vaginal bleeding. You quickly realize this is different from your typical GYN patient....
Your patient just ate fish and seems to be having a weird reaction. Could this be one of those weird marine poisonings?
What are the types of priapism? How do you determine which type your patient may have? How do you treat it?? Here are some pearls...
Have you ever been concerned about a severe finger laceration where the distal portion appears dusky and cool? Wondered if it could benefit from replantation? Here is a quick tip to help!
