The 52 in 52 Review: PERC rule

Article Citation: Kline JA, et al. “Prospective multicenter evaluation of the pulmonary embolism rule-out criteria”. J Thromb Haemost. 2008. 6(5):772-780. What we already know about the topic: PERC (Pulmonary Embolism Rule-out C…


Let’s wait for the chest x-ray they said….let’s try them on BiPAP first they said.   But were they correct? REALITY-AHF (Registry Focused on Very Early Presentation and Treatment in the Emergency Department of Acute Heart…

Abscess in need, pus indeed

So you thought I&Ding your abscess was enough?  Or your attending told you….no cellulitis so no antibiotics?  WRONG! A recent double-blinded randomized-controlled trial of outpatient children and adults with abscesses <= 5cm wh…

Solar Retinopathy

So now that the biggest nature-themed event of 2017 is finished, we can all throw our rad NASA certified eclipse goggles into a drawer until 2024, when the next eclipse is due, and move on with our lives. Correct?   Wrong.   Natur…

The 52 in 52 Review: ProCESS

Title: “The 52 in 52 Review: ProCESS” Article Citation: ProCESS Investigators, Yealy DM, Kellum JA, Huang DT, et al. A randomized trial of protocol-based care for early septic shock. N Engl J Med. 2014 May 1;370(18):1683-93. PMID: 24635773….

Spin to Win

Dr. Michael McGonigal’s Trauma Professional’s Blog is a fantastic web resource with a nice, free monthly newsletter. I’ve been reading it regularly since medical school, and I’m pretty sure it’s the first place…

A Whole New World

We all love FOAM, and we all love airway. Today’s pearl will introduce you to a corner of FOAM you may not have come across, as well as a corner of airway management you might not know about. I’m a big fan of Jed Wolpaw’s…

Hard Numbers and Blood Transfusions

Not infrequently we identify patients who need to have some sort of blood product transfused in the ER. Most of these patients are not crashing, and have time to have a formal conversation about risks, benefits, and alternatives to transfus…

August 2017