Authors: Allison Lee, MD and Nicole Anthony, MD Out of the several right upper quadrant (RUQ) FAST views obtained over the past month at KCHC, which RUQ view was positive for free fluid? #2. As the sonographer fans through the area, a small stripe of free fluid (FF) can be Read more…
FAST Views Authors: Allison Lee, MD, Nicole Anthony, MD Question: Below are several right upper quadrant (RUQ) views obtained from unique Focused Assessment with Sonography in Trauma (FAST) exams over the past month at KCHC. Which RUQ view is positive for free fluid? 1 ____________________________________________ 2 ____________________________________________ 3 ____________________________________________ 4 Read more…
“So, what are you going to give me for the pain, doc?” “I don’t want to have to come back because of the pain.” We’ve all heard it before. After having received any myriad of pain strategies to ensure you didn’t undermanage their pain in the emergency room: The patient Read more…
Author: Jonathan McMahon, DO, MA Edited by: Robert Allen, MD; Noah Berland, MD Tranexamic Acid (TXA) has been in the literature a lot recently. Between the HALT-IT trial for its use in GI bleed, CRASH-2 and MATTERs for its use in trauma victims, WOMAN for TXA for postpartum hemorrhage, CRASH-3 Read more…
Author: Shane Solger, MD Edited by: Andrea Greene, MD, MPH Just Another Minor Head Trauma? When a healthy, middle-aged Joe with minor head trauma buys himself a CT scan in the ED, he can often be discharged from the ED after a short period of observation, barring any other concerning Read more…
Reviewed By Dr James Willis Edited By Noah Berland This Post is based on Teaching Shifts from the following residents: Drs. Noah Berland, Priscilla Chao, and Hope Taitt Case 1: A 38-year-old female with PMH of HTN, DM presents after assault with blunt maxillofacial trauma. No LOC. The primary survey Read more…
The theme for October Food and Journal Club was Geriatric Emergency Medicine, hosted by our guru of Geriatric EM (and my mentor for residency and geriatric mini-fellowship) Dr. Joel Gernsheimer. Also in attendance from the faculty side was one of our other Food and Journal Club veterans, Dr. Sinert. We Read more…
As you sit down at your workstation to finally catch up on some of those notes you’ve been putting off until the end of your shift, one of the nurses comes to notify you… “You remember that patient in room 4 with the leg pain? This is her urine…” You Read more…
The use of whole body CT (WBCT) – or “pan scan” – in trauma is an often debated topic in the emergency department (ED). The poly-consult setting of trauma involves multiple services that rapidly evaluate and treat a patient. With improved protocols, higher resolution imaging, and closer proximity of CT Read more…
This article is brief overview of the management of femur fractures in the emergency department. In general, femur fractures can be identified with x-ray. AP pelvis, hip and femur x-rays will be sufficient in most cases. Femur fractures can be categorized as proximal fractures and femoral shaft fractures. There are Read more…