Title: Prospective Validation of the San Francisco Syncope Rule to Predict patients With Serious Outcomes   Article Citation: Quinn, J. et al “Prospective Validation of the San Francisco Syncope Rule to Predict patients With Serious Outcomes” Annals of Emergency Medicine Volume 47, no. 5, May 2006.   What we already know about the topic: Syncope […]

The 52 in 52 Review:  The International Registry of Acute Aortic Dissection (IRAD) New Insights Into an Old Disease. Article Citation: Hagan PG et al. The International Registry of Acute Aortic Dissection (IRAD)New Insights Into an Old Disease. JAMA. 2000;283(7):897-903. doi:10.1001/jama.283.7.897 What We Already Know About the Topic:  Aortic dissection has challenged physicians since it […]

You are once again working your solo overnight shift and Rural General Stand Alone Hospital.  In the door walks a 33 yo G6P5 female with abdominal cramping who is 35 weeks pregnant.  The labor and delivery service recently closed down and all OBGYN is being referred to the regional hospital 45 minutes away.  The patient […]

You are working at Rural General Hospital, solo coverage overnight     Patient is a 35yo male with no past medical history presents to the ED from home with the complaint of “something in my eye”, he reports blurry vision and severe pain in the right eye.  Visual acuity is grossly intact and his right […]

You have just recently started a lucrative position in a small rural hospital in Northern Vermont.  In your first week you are working a single provider overnight shift and a patient presents for a laceration to their left hand.   History: 25 year old right handed male, at home cutting a steak when the knife […]

This series is designed to discuss topics that we might not routinely encounter during our training or how to manage patients we would normally triage to a sub-specialty service.   This pearl comes courtesy of an excellent review on emDoc. “Cystic Fibrosis ED Management Pearls and Pitfalls” http://www.emdocs.net/cystic-fibrosis-ed-management-pearls-pitfalls/   Basic Pathophysiology: Cystic Fibrosis (CF) is […]

Title: “Trial of Continuous or Interrupted Chest Compressions during CPR” Article Citation: Nichol G, Leroux B, Wang H, Callaway CW, et al; ROC Investigators. Trial of Continuous or Interrupted Chest Compressions during CPR. N Engl J Med. 2015 Dec 3;373(23):2203-14. PMID: 26550795 What we already know about the topic: Animal models have demonstrated that interruptions in cardiac arrest […]