I was initially going to do something on chest pain but that will be pushed back for a quick discussion on when to transfuse patients in the ED. While most of this information can be generalized to any patient actively bleeding I will focus on the patient with GI hemorrhage with some literature hot off the press. Continue reading
Anterior shoulder dislocations are very common and we all have our favorite ways to reduce them. I’ve noticed lately, however, that many residents don’t know what complications to look out for and what to do if they find them. The Hill-Sachs deformity and Bankart lesion are the most common dislocation complications, with axillary nerve injury being the most discussed complication of reduction.
How good are physicians at calling STEMI? After reading Dr. Smiths “Can’t miss ECGs” in EM Resident Dec/Jan 2013 vol. 39, issue 6, I decided to look further into the accuracy of physicians to call STEMI. Continue reading
It might be time to start treating patients with pulmonary embolism as outpatients.
Over 6 years ago two papers were published by the same authors that presented similar prediction rules to identify patients with pulmonary embolism who are at low risk and can be treated as outpatients. Continue reading