This year ACEP 2018 took place in San Diego, CA from Oct 1st– 4th, 2018. There were lots of amazing speakers and topics as was evidenced by the eruption of everyone’s twitter feeds with the #ACEP18 hashtag. I was fortunate enough to not only attend, but also speak at this amazing conference. I was approached […]
Archive for category: Clinical
If you mainly treat adults or both adults and children like me, then you have probably heard the (very annoying) quote, “kids are not just small adults”, and so I won’t say it again. Well, I guess I just did, but at least I wont stop at this quote, but attempt to explain how kids […]
Coronary Computed Tomography Angiography (CCTA): The Holy Grail of “Low Risk” Chest Pain Evaluation?
Background: CCTA has become a popular modality in the ED setting to assess anatomic atherosclerotic disease in patients presenting with chest pain. Advocates of CCTA feel that CCTA has a greater accuracy in identifying obstructive coronary artery disease and identification of high-risk disease compared to standard physiologic testing. However, many published trials on CCTA were not […]
Definition: Accidental hypothermia is an unintentional core body temperature of < 35°C when heat loss to surroundings is greater than heat generation Most frequent cause is environmental exposure Patient with impaired thermoregulation can develop hypothermia in relatively warm environments Elderly, underlying illness, trauma, intoxication, or malnutrition (Brown 2012)
Background: Currently, several medications are recommended for the management of atrial fibrillation with rapid ventricular response in the emergency department including calcium channel blockers, beta blockers and digoxin (the optimal choice is still up for debate). Magnesium sulfate may play a role as a supplemental medication based on its ability to decrease the frequency of sinus node […]