I’ve got some stuff from both last week and this week’s lectures. Enjoy. A series of posts on approach to pediatric abdominal pain: http://dontforgetthebubbles.com/abdo-pain-week-1-general-approach/ http://dontforgetthebubbles.com/abdo-pain-week-2-surgical-causes/ http://dontforgetthebubbles.com/abdo-pain-week-3-management-in-ed/ Work up of blunt and penetrating abdominal trauma from life in the fast lane: http://lifeinthefastlane.com/ccc/abdominal-trauma/ Good overview of cirrhotic patients in the ED: http://www.emdocs.net/approach-to-the-sick-cirrhotic-patient/ EMCrit podcast …
Category: Trauma
Mar 21
FOAM of the Week – Pneumothorax, Chest Trauma
Lot of great FOAM stuff on pneumothoraces and chest trauma from this past week’s lectures: Use US to find your next pneumothorax: http://rebelem.com/ultrasound-detection-pneumothorax/ Pigtail and discharge that pneumo? Maybe soon: http://www.aliem.com/2014/aliem-annals-em-journal-club-spontaneous-pneumothorax-pigtail-catheters-outpatient-management/ Trying to decide if that trauma patient needs a chest CT? Consider using the new NEXUS Chest CT rules: https://www.emrap.org/episode/feb2016emrap/linsessionnexus Thoracotomy Review from EMRAP: https://www.emrap.org/episode/crackingthe/traumasurgeons …
Feb 28
FOAM of the Week – Nephrolithiasis, Peri/Myocarditis, GU Trauma
Some great FOAM stuff related to this past week’s lectures – enjoy! Nephrolithiasis Good overview from emdocs: http://www.emdocs.net/nephrolithiasis-diagnosis-management-ed/ Need a CT for that diagnosis? 10 reasons not to from ALIEM: http://www.aliem.com/2014/top-10-reasons-order-ct-scan-suspected-renal-colic/ Author analysis from recent US vs CT trial: http://www.aliem.com/2015/author-insight-ultrasonography-versus-ct-for-suspected-nephrolithiasis-nejm/ Does Flomax help? http://www.emdocs.net/medical-expulsion-therapy-with-tamsulosin-in-ureteral-colic/ Just tell them to have sex instead! https://www.emrap.org/episode/sexualhealing/sexualhealing Peri/myocarditis related topics: …
Feb 06
FOAM of the Week – Blunt Cerebrovascular Injury, Peritonsillar Abscess
Since this week was a class day, I’ve included some topics that have come up on my shifts recently. Enjoy! Blunt Cerebrovascular Injury – does every cervical seatbelt sign need a CTA? EAST Guidelines: https://www.east.org/education/practice-management-guidelines/blunt-cerebrovascular-injury PV Summary card from ALIEM: http://www.aliem.com/2011/paucis-verbis-imaging-for-blunt/ Discussion from EMRAP on pediatric population: https://www.emrap.org/episode/nov/traumasurgeons Some tricks of the trade …
FOAM of the Week – Shoulder Dislocation, Knee Dislocation, Genitourinary Trauma
Thought I would share some trauma stuff that came up on recent shifts since it was class day today. Enjoy! A newer technique for reduction of shoulder dislocations – haven’t tried it yet but looks super-easy: http://www.foamem.com/2013/06/25/trick-of-the-trade-got-a-shoulder-dislocation-park-it/ Knee dislocations – remember, >50% will spontaneously reduce upon presentation, so need to have a high index of …
FOAM of the Week – TXA in Trauma, Submassive PE
Since there was no formal lecture today, I’ve included a couple pieces related to issues that have come up on recent shifts. Enjoy! TXA (tranexamic acid) in trauma – a nice review from emDocs. Of note, the reasons why you haven’t seen this given at Grady is because it’s stocked in the OR and the …
FOAM of the Week 10/27/15 – Anticoagulation Reversal, Dental Trauma
Hey guys, I picked a few topics for this past week since we didn’t have conference. I think you’ll find them helpful – check it out. One of the pharmacists was asking that I send some stuff out about PCC and anticoagulation reversal. I found a nice summary by Rob Orman from ERCast – it’s …