EM Controversies: Antibiotics for nasal packing?

Author: Robby Allen, MD Edited by: Eden Kim MD, Roshanak Benabbas MD Acknowledgments: Michael Lucchesi MD, Aleksandr Gleyzer MD   Our “EM controversies” lecture series continued with a faculty showdown: Dr. Lucchesi versus Dr. Gleyzer. Watch the debate here. Their Challenge? Antibiotics for nasal packing. What does the evidence say? Read more…

D-dimer for aortic dissection screening: is it ADvISEDable? A (relatively) brief lit review

Introduction As far as dangerous causes of chest pain go, acute aortic syndromes (aortic dissection, intramural thrombus, and penetrating aortic ulcer) can present a real diagnostic dilemma. They’re rare (with a prevalence of around 2-4 per 100,000 individuals), seem to present in a myriad of ways, and are invariably life-threatening. Read more…

Does Observation for ACS Makes Sense? Part 1: A History of Observation for Chest Pain

Accurate and expeditious diagnosis of acute myocardial infarction or acute coronary syndrome (ACS) is one of the key charges of emergency medicine providers. Chest pain is the second most common reason for emergency department visits in the United States and coronary artery disease is our leading cause of death (1,2). Read more…