In the emergency department, we are often asked by consultants to provide procedural sedation for reductions, suturing and repairs. Here is a cheat sheet to serve as your quick reference guide.
Modern immunizations in conjunction with better CT imaging has likely led to declining need for lumbar puncture in the emergency department to evaluate for meningitis and subarachnoid hemorrhage. This may contribute to physician discomfort with the procedure and lower likelihood of first attempt success. This study evaluated whether the addition of ultrasound guidance could increase first attempt success on infant lumbar puncture in the Emergency Department.
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!
Is it reasonable to treat acute appendicitis with IV antibiotics as opposed to surgical resection? Read ahead for an overview:
While it is a procedure you will hopefully never need to do, if the time comes, there is no time to prepare. Here is a quick review on what you need to know about the perimortem/emergency cesarean section:
An unexpected breech delivery can be extremely stressful for any ED provider. Read ahead for tips on how to guide you through this challenging case.
Do you ever wake up at night in a cold sweat from a nightmare about a shoulder dystocia delivery? This week, our OBGYN colleague Dr. Michelle Salvatore educated us on maneuvers to relieve shoulder dystocia during an ED delivery. Read ahead for her helpful tips so you can sleep easier!
An child is brought to your emergency department following a first-time seizure...
A 19 year old female with a history of sickle cell disease presents to the ED with fever, cough and chest pain...
A 64 y/o female presents with two days of "coughing up blood"...
