Background: Chest pain is a complaint commonly seen in the emergency department. Getting a good history is an essential part of working up patients with chest pain, as the history may guide us to be concerned for the cause of life-threatening …
Background: Based on the Surviving Sepsis Campaign, hemodynamic resuscitation of sepsis patients is done by repeating serum lactic acid levels every 2 – 4 hours until normalization. The issue with this strategy is that there are other things that may elevate …
Background: 1st trimester vaginal bleeding and abdominal pain is a common complaint seen in the ED. As EM physicians it is important to make the diagnosis of ectopic pregnancy early in the clinical course as it can prevent rupture, difficulty with future …
Background: Over the past few years we have seen a surge in the use of oral Factor Xa inhibitors (apixaban, rivaroxaban etc) for anticoagulation. The reason for this is the ease of use, standard dosing with no levels to check and …
Background: Standard management of septic shock has included, IV fluids until optimal intravascular volume is achieved, appropriate early antibiotics, and source control. Typically, only after all these measures have been undertaken is vasopressor infusion initiated if a MAP of ≥65mmHg is …
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