Citation Perry JJ, Stiell IG, Sivilotti ML, et al. High-risk clinical characteristics for subarachnoid haemorrhage in patients with acute headache: prospective cohort study. BMJ. 2010;341:c5204 Resident Reviewer Carl Mickman Why this study…
Jammed fingers are a very common complaint in the emergency department, and while often sent home as soon as we verify they don’t have a fracture, there is another more serious complication that needs to be on our radar. Malle…
Back pain-related complaints account for millions of visits in emergency departments every year, and all of us have had patients that despite our best efforts aren’t satisfied with their pain control. Trigger point injections of local anest…
Testicular torsion is one of the most concerning diagnoses we can see in the emergency department, but a lot of the things we have come to accept as dogma regarding this dangerous diagnosis aren’t always as straightforward as board exams wo…
Citation Smith-Bindman, C. Aubin, J. Bailitz, et al. Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med, 371 (2014), pp. 1100–1110. Resident Reviewer Carl Mickman Why this study is important The use of no…
All of us have seen the acutely withdrawing opiate abuser during our times in the emergency department, however aside from a little bit of clonidine and enrollment in a methadone clinic, it can sometimes seem like our options are fairly lim…
Hyperglycemia is frequently seen in the ED. Practice variation is common in terms of glucose reduction for safe discharge. The question is does improving this number benefit our patients?? Study: Driver, B et al. Discharge Glucose…
During ACLS, valuable seconds are often wasted while trying to analyze the rhythm on the tiny monitor. Is it VT? VF? PEA? Then when we decide we do want to deliver the shock, even more time is wasted charging the defibrillator. All this los…
Citation Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. 2009. HINTS to diagnose stroke in the acute vestibular syndrome. Three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. S…
Blood-letting was once one of the main medical treatments offered to patients before the advent of modern medicine, but did you know it is still a possible therapy that can be used in the ED today? According to a study by Eiser et al in 199…
