Clinical Pearls
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The Epidemic of Prescription Drug Abuse
Photo Attribution: By J. Troha (Photographer) [Public domain or Public domain], via Wikimedia Commons Originally published: Dr. Wen’s blog: http://whendoctorsdontlisten.blogspot.com/ Original author: Leana Wen, MD MSc Recently, I learned of some shocking statistics: Every year, pharmacies dispense 257 million prescriptions for opioid painkillers — one for every adult American. While the U.S. makes up less […] -
Proper Adult Lumbar Puncture Technique
Author: Nick Pettit, OMS 2Ohio University Heritage College of Osteopathic Medicine Proper Lumbar Puncture (LP) technique is critical for both obtaining a pure CSF sample as well as minimizing patient discomfort and post LP side effects. Herein, a summary of the proper technique will be described. Technique Performed either lateral recumbent or upright Use proper […] -
Smoking Cessation in the ED
Author: Nick Pettit, Ph.D. OMS-IIOhio University Heritage College of Osteopathic Medicine Patients present to the emergency department (ED) at some of the lowest points in their lives, and in many cases their visits can be directly attributed to the chronic use of tobacco products. Having a history of tobacco consumption increases the risk of coronary […] -
OUCH! Forearm Fractures Board Review
Author: Meaghan Mercer, DO; AAEM/RSA President Galeazzi Fractures: A typically isolated radial fracture with subluxation or dislocation of the ulnar head. Injury to a division of the median nerve known as the anterior interosseous nerve (AIN) can occur. AIN palsy can cause paralysis of the flexor pollicis longus and flexor digitorum profundus muscles. o Clinical […] -
Clinical Exam for Shoulder Injuries: Which are worth the time?
Author: Andrew W Phillips, MD Med Stanford/Kaiser Emergency Medicine Residency Program Shoulder injuries are not uncommon in the emergency department (ED), and although shoulder soft tissue injuries are typically non-emergent, the patient can be helped greatly knowing if s/he likely has a serious shoulder injury. Magnetic resonance imaging (MRI), however, is costly and not usually […] -
Acute Carpal Tunnel Syndrome in Pediatric Distal Radius Fractures
Authors: Andrew W Phillips, MD MEd and Emily Niu, MDStanford University/Kaiser Emergency Medicine Residency Program andStanford University Orthopedics Residency Program Summary points: Acute carpal tunnel syndrome complicates up to 9% of distal radius fractures. Large displacement increases the probability of developing acute carpal tunnel syndrome. Early carpal tunnel release is associated with improved outcomes. The […] -
Resident Journal Review: Procedural Sedation
Originally Published: Common Sense, Mar/Apr 2013 Original Authors: Authors: Kami Hu, MD; Michael Allison, MD; Michael Scott, MD; Phillip Magidson, MD MPH; David Wacker, MD PhD; David Bostick, MD MPH Editors: Michael C. Bond, MD FAAEM; Jay Khadpe, MD FAAEM IntroductionThe ability to administer procedural sedation and analgesia (PSA) is a necessity for today’s emergency […] -
Resident Journal Review: Anticoagulation
Originally Published: Common Sense, Jan/Fab 2013 Original Authors: Authors: Susan Cheng, MD MPH; Jonathan Yeo, MD; Allison Regan, MD; Eli Brown, MD Edited by: Michael C. Bond, MD; Jay Khadpe, MD This Resident Journal Review focuses on the new oral anticoagulants and their use for stroke prophylaxis in patients with atrial fibrillation, venous thromboembolism (VTE), […] -
On the Horizon: Shock – Administered Uninterrupted Chest Compressions
Originally Published: Modern Resident, Dec/Jan 2013 Original Author: Meaghan Mercer, DO University of Nevada Las Vegas Submitted by: Rachel Engle, DO; Joe Lex, MD MAAEM FAAEM, Temple University Hospital It is important to revisit and challenge dogma in medicine. When you think of defibrillation you hear the word “CLEAR” and know your primary job in […] -
Resident Journal Review: An Update on Airway Management in Emergency Medicine
Originally Published: Common Sense, Nov/Dec 2012 Original Authors: Authors: Michael Allison, MD; Michael Scott, MD; Kami Hu, MD; David Bostick, MD; Daniel Boutsikaris, MD Edited by: Michael C. Bond, MD FAAEM; Jay Khapde, MD FAAEM There are few clinical skills as important to the emergency physician as emergency airway management. The field of airway management […]
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