Background: Optimal management of pneumothorax and hemothorax with chest thoracostomy has been widely debated over the last decade. We no longer question the utility of pigtail catheters for pneumothorax and now ask whether a catheter has to be placed at ...
Take Home Points Emergency medicine revolves around the differential diagnosis History and physical exam should significantly narrow your differential diagnosis Have an idea of what specific diagnoses are being ruled out when ordering diagnostic tests Always consider the most life-threatening and ...
Take Home Points Take chest pain seriously – ACS and PE patients don’t always appear ill – look for the silent killer cases Remember 4-2-1 approach to chest pain = 4 chambers, 2 lungs, 1 esophagus EKG’s – get an old ...
Take Home Points Wheezing can be absent when severe – be wary of the silent chest = impending respiratory failure Not everything that wheezes is asthma! Beware of mimics – COPD, CHF, anaphylaxis, stridor Consider dexamethasone in those with poor ...
Take Home Points Keep a wide differential Think of the airway, lungs, heart, blood, kidneys, acid/base, brain Use Wells & PERC consecutively to stratify those who you think may have a PE Silent chest is asthma patients is a harbinger ...
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