Vancomycin and Piperacillin-tazobactam (Zosyn) are two widely used broad spectrum antibiotics most ED providers use severe infections and especially undifferentiated sepsis. These antibiotics together synergistically fight off MRSA, Pseudo…
So you’re working a busy A side shift at Elmhurst and you get an alert from EMS about a polytrauma. The patient rolls through the door alert but moaning in pain with obvious road rash to the bilateral lower extremities. He states he was in…
“I have a headache”….the number of times we as ED providers have taken care of a patient with this complaint is uncountable. Once we have established that the source of the headache is not life threatening we then move on…
DKA is a very common endocrine emergency that we encounter very frequently in the ED in both pediatrics and adults. Standard therapy of care includes IVF, correction of electrolyte disturbances, +/- bicarb, and of course insulin. Prior to s…
So you’re working a busy resuscitation shift when you are alerted by the triage nurse of a possible stroke with onset approx 1 hour ago. You go assess the patient and you find a 75 yr old gentleman with left sided facial droop, slurre…
Per ACLS guidelines, stable ventricular tachycardia can be treated with either IV Amiodarone or IV Procainamide. Clinically it appears that Amiodarone has been the preferred agent, although both drugs have received a class II recommendation…
Tranexamic acid (TXA) is a synthetic anti-fibrinolytic agent used to treat many different bleeding complications. It’s implications in trauma as well as its various routes of administration including orally, IV, and topically have bee…
The quadriceps tendon attaches the quadriceps muscle to the patella. Tears most often occur just above the insertion on the patella. They more commonly occur in men (8:1 ratio) and patients report hearing a popping sensation doing activitie…
So you’re working a Saturday overnight B side shift at Elmhurst. Its 3am and you have a patient in the hallway who looks questionably intoxicated and has been assaulted. Grossly he has no facial or head injuries (no lacs or abrasions)…
