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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


EM for Physicians #5- Cold Weather Concerns

Well, it's winter again, so we need to be on our toes for emergencies that tend to be more specific to cold weather months. Two of the most common are hypothermia and carbon monoxide poisoning. In this episode, we talk about what they are, what we need to look for, and how we fix it.

EM for Physicians #5- Cold Weather Concerns


EM for Physicians #4- No Pain Like Chest Pain

Throughout the history of medicine, we have been looking for better and safer ways to evaluate and treat common emergent conditions. Chest pain gives emergency physicians chest pain because it is a high risk diagnosis with huge implications if one "slips through the cracks." Finally, there appears to be 3 chest pain studies which establish rules that at least allow us to whittle away some of the low risk chest pains that we can evaluate and disposition quickly.

EM for Physicians #4- No Pain Like Chest Pain


EM for Physicians #3- Sound Information on Ultrasound

Ultrasounds have revolutionized emergency care and should be an important tool in every emergency physicians arsenal. There are many potential utilizations and with modern machines that are portable, fast, and clear, more and more facilities are investing in this tool that improves care, efficiency, and safety.

Everyday Medicine for Physicians #3- Sound Information on Ultrasound


EM for Physicians #2- Dealing with MRSA

One of the most common day to day disease processes we see in the ER is MRSA soft tissue skin infections. With the rate of which this pathogen has taken over, standardization of treatment has been very difficult. From incision and drainage, to antibiotics, to warm compresses, treatments vary based on practitioner experience and preference. In 2011, the infectious disease community released their recommendation for how we approach this disease.

EM for Physicians #2- Dealing with MRSA