The current treatment for epistaxis consists of holding pressure, local vasoconstrictor, silver nitrate or anterior nasal packing. Recently, the use of topical TXA has been purposed. A previous study in 2013 showed that topical TXA resulted in shorter epistaxis control and shorter ED LOS in patients not on any anticoagulants or antiplatelets. A new randomizedRead more

The 52 in 52 Review: Absorbable Plain Gut vs. Nonabsorbable Nylon Suture in children

Article Citation: Karounis H, Gouin S, Eisman H, Chalut D, et al. A randomized, controlled trial comparing long-term cosmetic outcomes of traumatic pediatric lacerations repaired with absorbable plain gut versus nonabsorbable nylon sutures. Acad Emerg Med. 2004 Jul;11(7):730-5. PMID: 15231459 What we already know about the topic: Traumatic lacerations are one of the most common causesRead more

Albumin in SBP?

We have many patients coming to our ED with cirrhotic liver disease with ascites. Up to 25% of patients with ascites have SBP. Once SBP has been identified, we use a third-generation cephalosporin to treat the patient. However, the benefit of albumin is questionable. Albumin can bind inflammatory cytokines and improve intravascular volume. Literature suggestsRead more

The 52 in 52 Review: Septic Joint vs. Transient Synovitis of the hip in children

Article Citation: Kocher MS, Mandiga R, Zurakowski D, Barnewolt C, Kasser JR. Validation of a clinical prediction rule for the differentiation between septic arthritis and transient synovitis of the hip in children. J Bone Joint Surg Am. 2004 Aug;86-A(8):1629-35. PMID: 15292409 What we already know about the topic: Differentiation between septic arthritis and transient synovitisRead more

52 in 52 Review: PE Rule Out with Wells and D-dimer

Title: “The 52 in 52 Review: PE Rule Out with Wells and D-dimer” Article Citation: Wells PS, Anderson DR, Rodger M, Stiell I, et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: Management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and D-dimer. AnnalsRead more