I have addressed the WOMAN trial before on First10EM. (Twice actually). Two mentions of a trial of TXA in postpartum hemorrhage might already seem a bit excessive for an emergency medicine blog. However, this trial has been discussed widely, and there seems to be some persistent confusion about the results […]
It has been a busy day in your emergency department. The precipitous delivery that occurred at triage was complicated by shoulder dystocia. Luckily you had some help, and one of your colleagues is managing the neonatal resuscitation. Nurses are starting to congratulate mom and pat you on the back, when […]
I recently wrote a post lamenting our lack of attention to distress in adult patients. There is so much we can do to improve the emergency department experience. I am tempted to say that we should treat our patients as we would want to be treated – a variation on […]
The management of burn blisters has always produced a lot of debate. My teaching was to leave the blisters alone, as deroofing them provides no benefit but increases pain. Recently I have noticed a push to have burns debrided. Both in Canada and New Zealand, I have had plastic surgeons […]
Unfortunately, although the popularity of smoking has been on the decline for decades, vaping is becoming extremely popular, especially among young patients. More than 20% of high-school students and about 5% of middle school students admit to using an e-cigarette in the past 30 days. (Cullen 2018) When compared to smoking […]
Until I moved to New Zealand, I honestly thought that orthostatic vitals signs were dead. I never bothered to cover the evidence, because I thought we had all agreed they were pretty useless. However, in my current hospital, the trainees seem to routinely perform orthostatics, and the admitting medicine doctors […]
The Rapid Review series reviews the key points of a clinical review paper. The current topic: Ovarian hyperstimulation syndrome (OHSS) The Paper: Timmons et al. (2019). Ovarian hyperstimulation syndrome: A review for emergency clinicians. American Journal of Emergency Medicine. 2019. PMID: 31097257 [paper]
Here is another collection of the articles I have found interesting in my reading from the last couple months. For this edition of the Research Roundup we have TB screening, exercise for concussion, conflict of interest, gestalt for ACS, and so much more. Podcast version over on BroomeDocs.
During my time in New Zealand, I have heard that speech far too many times. (The consequence of a strange rule that requires a doctor to be present any time a patient receives a contrast CT.) I have had a lot of time to contemplate that statement during the small […]