Web Toolbar by Wibiya

EM for Physicians #10- Hypertension in the ER

Hypertension is a common cause or contributor to ER visits. The big question is who needs treatment in the ER and who can follow up with a primary care doctor for further evaluation and treatment. Research shows that we can easily do more harm than good by being to agressive in treating elevated blood pressure in the ER. In this episode, we talk about hypertension and how to stratify which patients need treatment and which ones can be discharged for follow-up.

EM for Physicians #10- Hypertension in the ER


EM for Physicians #9- Drunk or Dying

Dealing with drunks and alcohol abuse is just a fact of life in emergency medicine. In the vast majority of cases, we serve as over-educated baby sitters, but sometimes our patients aren't just drunk, the could be dying. Being able to differentiate between your run of the mill intoxication versus the potentially deadly mimicker can be tricky. In this episode, we talk about some of the common masqueraders and what signs they may tell.

EM for Physicians #9- Drunk or Dying


EM for Physicians #8- Tornado Disaster Preparedness

I had planned on an episode in preparation for sever spring weather, then an outbreak of tornadoes hit Kentucky, destroying entire cities and leaving hundreds injured or dead. I sat down with one of the physicians on the front line that night. Dr. Philip Overall was working at St. Claire Medical Center in Morehead Kentucky and saw the worst that these tornadoes had to offer.

EM for Physicians #8- Tornado Disaster Preparedness


EM for Physicians #7- Rattling Their Skull

One of the biggest fears of many ER physicians is evaluating and treating pediatric head injuries. The questions of whether to watch, image, or discharge home in a population that most likely is fine, but a miss can be catastrophic. In this episode, we talk about pediatric head injuries and the rules that can make evaluation a little easier.

EM for Physicians #7- Rattling Their Skull


EM for Physicians #6- Clot Busters

The D-dimer was touted as the cure for unnecessary chest CT scans for PE's. I think we all have realized that falsly positive tests have led to a surge in CT's for this diagnosis. So what is currently out there and how can we safely evaluate for DVT's, PE's and yet decrease exposure to radiation, contrast and the cost of these studies? There are many opinions, but little consensus. So here it is, the current data I my angle on DVT's and PE's.

EM for Physicians #6- Clot Busters