How to Drain a Felon
Chief Complaint: Finger infection. Gosh, I hope it’s only a paronychia. Oh no…it’s a felon! How do I drain those again??
Chief Complaint: Finger infection. Gosh, I hope it’s only a paronychia. Oh no…it’s a felon! How do I drain those again??
Mr. Clean, Escape, Extend IA. So many trials...just tell me the bottom line! Here are some of the most critical neuro-interventional trials and their take home points.
Oncological patients are at risk of developing several complications including life threatening infections. We often first worry about neutropenic fever in these patients. However, there are other oncological emergencies with which the emergency medicine physician needs to be familiar.
Delivering a baby in the emergency department is far from ideal and although all usually goes well, you need to be prepared in case it doesn’t. Shoulder dystocia gets a lot of hype because of those fancy corkscrew maneuvers, so instead of that we’re going to talk about another dreaded complication, post-partum hemorrhage.
Do you routinely perform large volume (or near large volume) paracentesis in your ED? If so, you need to know about a potentially life-threatening complication of this procedure...
A 34 year old Vietnamese male presents with complaint of neck swelling. It began one month ago and worsened over the past few days. He endorses fatigue and a mild weight loss. Exam shows an indurated, non mobile mass without tenderness or erythema. You order imaging and are concerned for TB but unsure what to do next.
A 45 year old man with PMHx of HTN presents with chief complaint of chest pain for 15 minutes after shoveling snow. His vital signs and physical exam are unremarkable. A 12 lead ECG is obtained...
So you think your young, healthy, sexually active patient with a painful joint and weird skin findings might have disseminated gonococcal infection or gonococcal arthritis…but you’re not sure of the difference between the two. Is there a difference? Then you wonder how to properly diagnosis and treat such an illness.
Tranexamic Acid! It seems everywhere we look there are people touting TXA as the next miracle drug. This post introduces the clinical applications of TXA and the evidence supporting its use.
You are intubating a sick patient in the ED via direct laryngoscopy. After opening the airway, sweeping the tongue with your blade, inserting into the vallecula, and lifting at the precisely correct angle your eyes behold....well...not the vocal cords! Maybe the arytenoid cartilages if you're lucky (aka Cormack Lehane 3 or 4 view). But wait, you aren't finished yet! You reach into your back pocket and remove your trusty bougie...
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