Hernia basics
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A quick review of hernias - what they are, how to differentiate simple vs complicated types, and how to manage.
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Monday
Basics of PID
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Highlights of pelvic inflammatory disease etiology, risk factors, diagnosis, and management from Dr. Perelman
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Sharp Foreign Body Ingestion
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Consider a case: a 38 year-old male presents to the ED after intentional ingesion of multiple objects, which include razor blades, a fork and other sharp objects. Vital signs are stable, he has no abdominal tenderness, and an x-ray reveals several foreign bodies in the stomach that appear consistent with sharp objects, with no free air under the diaphragm. How do you approach this scenario and other similar cases?
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Disposition of Pediatric Burn Patients
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A full discusison of pediatric burns would involve management of ABCs, calculation of body surface area burned and the intricacies of different calculations, fluid management, pain control, and finally disposition. For this, read a full chapter and several articles on burn management and resuscitation - here we have a quick rundown of what patients require transfer to burn center and/or admission vs which might be able to be discharged home.
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Digital Nerve Blocks
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Finger lacerations/injuries are common in the Emergency Department and obtaining adequate analgesia for repair is important. Here we review the basics of digital nerve blocks as well as two common techniques.
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General Management of Pediatric Neck Masses
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Have a pediatric patient with a neck mass? No idea where to begin with your differential and management? This post from Dr. Rahul Gupta has got you covered!
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Treatment of Hypertensive Emergencies
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Last week, we briefly defined hypertensive emergency as acute blood pressure elevation (SBP >180 and/or DBP>120) with evidence of end-organ damage. (Remember, hypertensive urgency is the same blood pressure elevation without end-organ damage). Once we have identified a hypertensive emergency, what are our best treatment options? Below is a quick guide (not comprehensive) to some go-to options.
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Defining Hypertensive Crisis
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The next two weeks, we will be reviewing basics of hypertensive crisis (ie severe acute hypertension). Here we start with the real basic basics - defining the conditions.
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Suprapubic Catheter Placement
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Acute urinary retention + contraindication/failure of foley catheter? Suprapubic catheters (or suprapubic aspiration) are rarely done in the ED but are an important procedure to know for the few times when no other option will suffice!
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Back to Basics: Intraosseous Lines
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Quick summary of intra-osseous lines: indications, contraindications, complications, placement and accuracy of labs.
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