It’s a busy day in the Emergency Department and you pick up a patient sent from clinic to “r/o appendicitis.” He is tachycardic and appears uncomfortable with moderate RLQ abdominal tenderness. Your attending tells you to give the patient some oral…
It wasn’t too long ago that I reviewed pulmonary infections for a morning report (see summary here). We reviewed some fun facts including: . – 10 % of HCAP have atypical infections indicating the use of Azithromycin. – For…
The 3 following cases present to your ER. What should you do? -A 35 YOM no PMH with a TASER electrode in the eyelid and another to his chest wall, denies chest pain, normal VS -A 40 YOM PMH…
TPA for MI when PCI is not available – recommended so thoroughly it’s in textbooks. TPA for clotted AV fistulas – surgeons do it. TPA in stroke…not going anywhere near it. TPA for PE…Interested? After a lit search…
Racial disparities in medical care exist. Did you know that you are more likely to receive a cardiac catheterization when you have chest pain with EKG abnormalities if you are white?[1] Or that if you are a minority, you are…
It seems like only yesterday, I was writing about the silliness of some order set (link) with a one-click stop for amylase, lipase, and ketones. Now, for another. In some hospitals, a single, “cardiac markers” click orders troponin I…
We know using skilled translators has many benefits such as improving patient outcomes, satisfaction, pain control, and number of medical errors (see sidebar below). In the United States, healthcare providers have increasingly been encountering patients who have limited English proficiency…
Over the last decade or two, we have all seen, read, and are hopefully now doing some interesting stuff with the A in the ABC’s. Here, we discuss three interesting topics involving ventilating critically ill patients using less breaths…sometimes way…