What is the best way to evaluate a pregnant patient in whom you suspect pulmonary embolism? There is no definitive guideline, but there is no shortage of opinions. Jeff Kline and I work through the evidence and lack thereof. DIRECT DOWNLOAD What is the fetal radiation exposure from CT pulmonary angiogram and ventilation perfusion scan [...]
IV Contrast fact and fiction
April 3, 2013 by 6 Comments
There are times when the safety of IV contrast can be a confusing quagmire. We know that iodinated contrast for CT scans can hurt the kidneys. But is it harmful for someone who already has renal failure and is on dialysis? What about the breastfeeding mother? Will IV contrast harm her infant? How should we [...]
Chest tubes 101
November 29, 2012 by 1 Comment
Video demonstrations of how to place several different types of chest tubes. Techniques: standard tube, pigtail, Seldinger technique.
Should we cardiovert acute Atrial Fibrillation in the ED?
October 27, 2012 by 23 Comments
Is it safe to cardiovert a hemodynamically stable patient with recent onset atrial fibrillation? The evidence says yes, but not everyone is a believer.
Amal Mattu on EKGs
August 31, 2012 by 3 Comments
Dr. Amal Mattu gives the low down on what to do with a bizarre looking wide complex tachycardia as well as ST elevation that might or might not be a STEMI.
Anticoagulation Reversal Part 2
July 26, 2012 by 1 Comment
Scott Weingart joins ERcast to give his take on 3 factor PCC and FEIBA.
Pediatric Fever: Part 2
July 13, 2012 by 3 Comments
What age should we use for the febrile ex-premie? At what temperature does a fever become dangerous? How should we approach the unvaccinated febrile infant? How many blood cultures should we get in febrile infants?
Pulmonary Embolus Outpatient Treatment
May 7, 2012 by 4 Comments
Treat a patient with PE as an outpatient? Insanity! But where is the evidence that says we’re doing the right treatment with all of the PEs we diagnose?
The Athlete’s Heart
April 19, 2012 by 2 Comments
What is the risk of sudden death in a marathon? How should you approach the sports physical? Are athletes’ EKGs different?
Explain it: Preoxygenation
April 14, 2012 by 6 Comments
Thinking about intubating? Don’t forget to preoxygenate. Fill your toolbelt with apneic oxygenation, NIVPPV, and high flow facemask oxygen.