Category: Emergency Medicine
The time bomb of doom: What I think about when I’m tending broad beans
The dilemmas and difficulties of diagnosing Aortic dissection in the emergency department. Differential diagnosis. Early investigation and management.
JC: The end for potatoes on the ICU…?
Another Journal club, another fruity (or vegetable-y) discussion today. The recent large prospective RCT by the Scandinavian 6S trial group on HydroxyEthyl Starch vs Ringer’s acetate in severe sepsis was published in the NEJM this …
Superficial Venous Thrombosis: watch and wait or anticoagulate?
Check out our ICEM poster on this. So, I see this old chestnut is under discussion again. A couple of us from the EmergINg team brought a poster to ICEM on this very topic. Sure you’ll all …
Should POPs be mixed with Heparin?
We published an interesting BET in the EMJ earlier (open access version here) this year about the use of low molecular weight heparin for patients placed in below knee POPs in the ED. This is …
Deciding Who To Investigate For ACS: The Problem Of ‘Coronary Bridge’
It seems to me that many emergency physicians struggle to understand exactly how we’re supposed to be managing patients with suspected cardiac chest pain. The first, and arguably most important question, is about who we …
New NICE guidance on Investigation of DVT in the ED
Is Venous Thrombo Embolism the most controversial area of EM practice at the moment? I think it might be as there is rarely a meeting or conference where the subject is not discussed and debated. …
Tranexamic acid needs a make over
I was listening to the EMCRIT podcast today. As usual it was absolutely excellent, but on this occasion it was especially superb as Scott Weingart was joined by the wonderful Prof. Tim Coates from Leicester. …
ON POST-EXPOSURE PROPHYLAXIS: a diet PEPSE served on ice
You are on a busy shift in ED when a young man in his twenties presents after having being triaged with a “personal problem” he would not disclose in triage. He has asked to see …
BestBets – Whole-body CT In trauma patients
This week Simon, Dan and Rick discuss a great BET from Hong Kong. Should we routinely CT our major trauma patients from vertex to symphysis?? We think so, but what’s the evidence. Giles and Scott …