Archive for category: Clinical

Game Changers in Emergency Medicine

03 Mar
March 3, 2014

Recently, I have been asked if there are any studies that have been performed over the past few years that should shape the way emergency medicine physicians should practice and can greatly improve patient care. So I asked some of my friends and colleagues if there are any studies that stick out in their minds. […]

Five Critical Care Articles For Your Clinical Practice

17 Feb
February 17, 2014

Critical illness is a life-threatening multisystem process that can result in significant morbidity and mortality. Timely, appropriate, and effective care for these patients is something all emergency physicians strive for. Using data from clinical trials of previous years, we can improve patient management and outcomes. In this post, I list my five critical care articles for your clinical […]

High Sensitivity Troponin Testing

06 Feb
February 6, 2014

Troponin testing is an important component of the diagnostic workup and management of acute coronary syndromes (ACS). The increasing sensitivity of troponin assays has lowered the number of potentially missed ACS diagnoses, but this has also created a diagnostic challenge due to a decrease in the specificity of the test. From 1995 to 2007, the […]

Relationship of Radiocontrast, Iodine, and Seafood Allergies

04 Feb
February 4, 2014

Computed Tomography (CT) scan using radiocontrast is one of the most common imaging modalities used in emergency departments today. Several studies and my own anecdotal experiences indicate that both physicians and patients believe that iodine allergies are linked to seafood allergies and that both are related to a disproportionate increased risk of “allergic” reactions to […]

Is Pelvic Exam in the Emergency Department Useful?

30 Jan
January 30, 2014

Women with undifferentiated abdominal pain and/or vaginal bleeding commonly present to the emergency department.  Many textbooks advocate for the pelvic exam as an essential part of the history and physical exam. Performance of this portion of the exam is time consuming to the physician and uncomfortable for the patient. It is with great regularity that […]

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