The Approach to Venous Thromboembolism
Author: Shivon Manchanda Adapted from the lecture of Dr Kasia Gore Unilateral Leg Swelling When a patient complains of unilateral leg pain and swelling, we often get an ultrasound right…
5 Minute Journal: Smelling Salts not included
Dr. Harrison Pidgeon Background: We see nausea all the time in the Emergency Department (ED). Providers have different preferences on what agents they use as anti-emetics. But when put through…
5 Minute Journal: PE YEARS
Author: Dr. Shivon Manchanda “Pregnancy-Adapted YEARS Algorithm for Diagnosis of Suspected Pulmonary Embolism.” Background: The diagnosis of PE can be challenging. We do not want to scan everyone, yet even…
5 Minute Journal: Second Antibiotic Delays in Sepsis
Author: Dr. Tisma Background/Study Question How often do septic patients receive their second antibiotic dose later than they should? What are the risk factors for these delays? And do these…
5 Minute Journal: Hypertension, Nosebleeds, and Vasoconstrictors walk into a bar
Author: Dr. Dennis McKinney Background: Epistaxis is one of the most common presenting chief complaints in the emergency department, accounting for about 1 in 200 visits. Different algorithmic approaches exist…
5 minute Journal: Hydrocortisone + Fludrocortisone for adults with septic shock
Author: Vanessa I. Petrak, M.D. Background: Septic Shock is a dysregulated host response to infection, resulting in life-threatening circulatory, cellular, and metabolic abnormalities. Sepsis is associated with a dysregulated response of…
5 minute Journal: Shocking Norepi Use
Author: Dr. Collin Wulff, DO Study Question: Does early low-dose norepinephrine improve shock control in those with sepsis with hypotension? Design: Mostly good buzzwords here; single center, randomized, double-blind, placebo…
5 Minute Journal: NG tube for locating the bleed
Author: Dr. William Slagle Article: Nasogastric Aspiration and Lavage in Emergency Department Patients With Hematochezia or Melena Without Hematemesis Background: This is a paper about GI bleeds and what we…
5 Minute Journal: Nec-Fasc fast!
Author: Dr. Jeny Tan-Creevy Background: Necrotizing soft tissue infections more commonly known as necrotizing fasciitis is a life-threatening diagnosis with a high risk for morbidity and mortality. Gold standard for diagnosis…
Journal Club: Trick or Treat UTIs?
Author: Dr. Stephen Gore
In the spirit of antibiotic stewardship and limiting the side effects of said antibiotics, we took a critical look during our last Journal Club session at the utility of urinalyses, urine cultures and vague symptoms like confusion/altered mental state in diagnosing UTI.
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