Sickle Cell Disease Emergencies

Sickle cell disease affects ~ 100,000 people in the US. Though pain is the most common ED presentation for patients with SCD, we should always consider life-threatening emergencies in this devastating and complicated disease.  Acute Chest S…

Procedural Sedation and Analgesia (PSA)

It’s winter and nobody has shoveled the roads; everyone and their mama is slipping. You have a patient with an obvious ankle dislocation and ortho is requesting that you put the patient to sleep so they can yank on the foot in peace w…

Dopesick

Opioids and why Written by Erena Weathers Case: you have someone who broke their leg doing a ~*~sick~*~ skateboard trick. They stuck the landing, and their tib-fib snapped. They’re ready to be discharged and you feel like the good…

PSA/Conscious Sedation Checklist

Reuben Strayer has written and talked extensively about proper PSA technique in the emergency department. Here is his checklist so that you can minimize complications and maximize your success: For more information check out his Procedural…

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