Idea Transcript
Representative List of Pearls × Over 500 Clinical Pearls are available, with new ones added weekly. Here's a sampling of some of what you'll find. Necrotizing Fasciitis - Making The Diagnosis The First Time Hemoptysis in the ED - A Temporizing Solution False Positive Troponin Elevation Renal Colic Clinically, but CT Negative. Next Step? The Pregnant Trauma Patient Recognizing a Pediatric Lithium Battery Ingestion Stroke Thrombolysis & Acute Angioedema Facial Numbness - Can it Still Be Bell's Palsy? VTE In Pregnancy The Crashing Patient With Pulmonary Hypertension in the ED Drug-Induced Seizure? Do Not Order Phenytoin Codeine & Acute Abdominal Pain: Under-Recognized and Easily Treated UTI - Or Really A Sexually Transmitted Infection? PCI Following OHCA Even Without ST-Elevation ACEI-induced Angioedema: Identifying Patients At Greatest Risk Hyperosmolar Hyperglycemic State: Immediate Insulin is Dangerous Acetaminophen Poisoning From Therapeutic Dosing - Now What? Elevated Lactate - Normal AG, Bicarb Unexpectedly High WBC in a Child – Do A Mega-Workup? Unprovoked First Seizure - Answering The Questions Appendicitis: Antibiotics, Not Surgery? Levetiracetam For Status Eplipticus The Patient is Not Drunk – It's D-Lactic Acidosis Distinguishing LE Cellulitis in the ED From Many Mimcs C. Diff Infection - Important Treatment Caveats PE or STEMI? NO. PE AND STEMI 2 Pediatric Ingestions Coming to Your ED WCT: Easily Nailing VT As The Cause Avoiding 2 Complications of Central Line Placement 7 Adverse Drug Events To Avoid in ED Patients Persistent Cough? Why You Should Consider Pertussis A. Fib in the ED, Part 2: Disposition A. Fib in the ED, Part 1: Cardioversion for Rhythm Control TGA - What You Need To Know Improving Neuro Symptoms - TIA or Not? Cirrhosis with Infection in the ED - Expert Management Pseudolithiasis Recurrent (Stump) Appendicitis Spinal Cord Injury - Thoughts To Keep In Mind 7 Things Your Colleagues May Not Know - Do You? Treatment Of Midazolam-Induced Paradoxical Reactions Refractory ETOH Withdrawal? Consider DEX LVAD? Think GI Bleed Decreased Influenza Vaccine Efficacy This Year AAA Found Incidentally in the ED. Now What? Rethinking Ultrasound for DVT Thrombocytopenia: Platelet Transfusion for Central Line or LP? HIV PEP - Is Your Practice Up To Date? Oral Medication - NOT IM - For ED Agitation Community-Acquired Pneumonia Cerebral Venous Thrombosis - When to Suspect it in the ED Acute Pulmonary Edema – Normal BNP. Why? Ebola Algorithm for the ED: Rational & Simple New NSTEMI Guidelines & The EP 3 Things You Need To Know About Variceal Bleeding Paradigm Shift: NO FFP For Variceal Bleeding with High INR Incidental PE. Subsegmental PE. Do You Treat? Antiplatelet Therapy, TBI, and ICH. Transfuse Platelets? Methadone/Buprenorphine & ED Pain Management Acute Stroke and the Troponin is Elevated - Significance? Gadolinium MRI and the Dialysis Patient Tympanostomy with Discharge – Treatment? The Asplenic Patient - What it Means For the Emergency Physician 4 Ways to Harm a Critical ED Patient By Doing the "Usual Thing False Localizing Spinal Levels – Don't Get Fooled Variation In Prescribing of Opioids and Benzodiazepines Antibiotics for Cutaneous Abscesses? Cellulitis in the ED: Admit or Outpatient Therapy? Steroids for acute COPD: UPDATE Steroids for COPD: What Dose? Acute Stroke – False Negative MRI Lactate Shortcomings – Don't Get Fooled Topical TXA – A Myriad of ED Uses When To Transfuse? The Potential Harm of Oxygen in ED Patients Current Management of ICH after tPA IV Fluids in the Critically Ill Hymenoptera-Sting Hypersensitivity: Not The Usual Info Acute Stroke with NIHSS Score of 0 PPIs: Adverse Effects, Including C. Diff CAP ICU Admit – Fluoroquinolone or Macrolide? Is That DVT Acute? Pediatric Asthma? Use Dexamethasone There is LVH – But is there a STEMI? Current Management of Morel-Lavallee lesions How Much ST-Elevation is ST-Elevation? V Fib That Won't Respond – Now What? Hepatic Encephalopathy – Management in 2014 Pacemaker/AICD Erosion Diagnosing Prosthetic Joint Infection in the ED LVAD Thrombosis in the ED Acute Liver Failure 2014 Hypertension Management Pediatric Respiratory Infections – Are You Choosing Wisely? Role of CK-MB in an Era of High-Sensitivity Troponins? Abdominal Compartment Syndrome Elevated Ammonia, Normal LFT's - Valproic Acid Overdose Bleeding And On Dabigatran – Now What? Drug-Induced Anemia Ashman's Phenomenon TRALI in the ED Nonviable Pregnancy Early in the 1st Trimester - Part 2 Diagnosing Nonviable Pregnancy Early in the 1st Trimester Acute Gouty Arthritis in the ED Aortoenteric Fistula To The Cath Lab – In V Fib Acute Aortic Syndrome Acute Pancreatitis ECMO and The Emergency Physician Severe Sepsis in Kids – Important Differences Current Estimated Risks of Blood Transfusion Identifying A Warning Leak Management of An Elevated INR Status Epilepticus Pediatric HHS: Becoming More Frequent Don't Remove That Central Line: It May Not Be Malpositioned Difficult To Diagnose Pain: An Etiology Necrotizing Fasciitis Paralytic Agents for RSI: Fun Facts Lipid Emulsion Therapy: Current Status Simple Viral Syndrome or Tick-Borne Illness? Acute Coronary Syndrome: Current Understanding Digoxin Toxicity With Normal Digoxin Levels Needle Aspiration & Spontaneous Pneumothorax New ATLS: Start Resuscitation Earlier Management of Epinephrine-Resistant Anaphylaxis The End of Steroids for Acute Spinal Injury? A Diagnosis To Consider Before Rushing to Give the t-PA Acute HIV infection & The Emergency Physician New Otitis Media Treatment Guidelines Button-battery Ingestion Stroke Patients With Rapidly Improving Signs Needle Thoracostomy: What Location? New Stroke Guidelines STEMI-Equivalents Updated Sepsis Guidelines - Implications for EM 2013 ACCF/AHA STEMI Guidelines: Pearl Part 2 2013 ACCF/AHA STEMI Guidelines: Pearl Part 1 CDC Health Advisory: Influenza Antiviral Medications Acute PE? Just Take This Pill Bell's Palsy: Recent Guidelines A Reminder: PCCs To Reverse New Oral Factor Xa Inhibitors in the ED Tranexamic Acid ED Central Line Insertion - Is There an IVC Filter? Clavicular Fractures – The Shift Towards Operative Management Diagnosing Cardiac Contusion Accidental Hypothermia & ECMO Clostridium difficile Infection 2012 Subarachnoid Hemorrhage Guidelines How Low Can You Correct An INR With FFP? Strokes in Children Children and Codeine Acute Sinusitis (Part 2): Treatment Acute Sinusitis (Part 1): When To Prescribe Antibiotics? Ischemic Colitis Cardiovascular Implantable Electronic Device Infection A Clue to the Presence of PE Isolated Calf DVT – Anticoagulate? Update to CDC's STD Treatment Guidelines Superior Vena Cava Syndrome - ED Approach Acute Pulmonary Embolism – Discharge Home From the ED Pitfalls of Opioid Overdose Management Giving Rhogam To A Man? Recurrent CA-MRSA Infection? Decolonization VBG Instead of ABG? Iodinated Contrast and The Dialysis Patient Elevated Troponin, Acute SMA Occlusion Acute Limb Ischemia NG Lavage for GI Bleeding? Single Dose IM Methadone for Acute Opioid Withdrawal Easily Controlling Post-Hemodialysis Site Hemorrhage Pulse Oximetry Latency – Don't Get Misled Emergency Physicians & VAP Bath Salts Phenobarbital for Alcohol Withdrawal When Benzos Not Available Postpartum Preeclampsia 3rd CN Palsy – Urgent CTA or MRA CT Sign of Impending AAA Rupture Peripheral Vs. Central Vertigo – 3 Findings More Sensitive Than MRI Ondansetron: QT Interval Prolongation SAH & Neurogenic Pulmonary Edema – Avoid Diuresis Prehospital IM Midazolam for Seizures Current Treatment for HAE RSI: Pearls For The Early Steps NSAIDs, Sulfonylureas, & Hypoglycemia Migraines and OCPs Heavy Menstrual Bleeding? NSAIDS! Abnormal LFT's? Consider NAFLD Two EKG Pearls Umbilical Erythema in the Neonate: A Sign of CMPI Think Endocarditis in Young Patients With Apparent Stroke Cocaine-Associated Chest Pain ED Adherence to AHA Guidelines for BP Management in Acute Stroke Unilateral Pulmonary Edema Influenza In a Healthy Person – Antivirals? Chest Tube in Lung Fissure - What Now? Repeating a Normal APAP Level? The Significance Of Outward Remodeling Peritoneal Dialysis Patients With Peritonitis Adenosine Cardiac Tamponade: Don't Exclude The Diagnosis Because of Normotension Carotid Artery Dissection FFP For ACE-Inhibitor Induced Angioedema Updated Pediatric UTI Guidelines Reexpansion Pulmonary Edema Treatment of Smoke Inhalation False Negative Urine Pregnancy Tests – How? Updates to Pediatric ACLS When is ED Thoractomy Futile? Pediatric Febrile UTI Use of Cephalosporins in PCN-Allergic Patients Recent AHA Scientific Statement: Treatment Of Submassive PE Antibiotics in the ED for UGI Hemorrhage Painless Acute Aortic Dissection Current Management of Uncomplicated UTI in Women Lead aVR: Often Ignored, But Valuable Type 2 Diabetes Presenting as DKA Current Management of Acute ITP Reducing An Intestinal Prolapse Acute Sinusitis: Viral or Bacterial? New LBBB: Still An Indication For Reperfusion Therapy? Infectious Mononucleosis Treatment of Extravasation Retroperitoneal Hemorrhage Acute Floaters/Flashes: Retinal Detachment? One Pill Can Kill ED Intubation of the Obese Patient - Propoer Position Upper Extremity DVT Accounting for the Negative Benzodiazepine Urine Drug Screen Streptococcal Pharyngitis Advanced Management of DVT Digoxin Toxicity & Hyperkalemia - IV Calcium? Dabigatran Antihypertensive Therapy for Acute Ischemic Stroke Aseptic Meningitis? Consider This Diagnosis Pediatric Intubation: Cuffed Or Uncuffed? Think Endocarditis in Young Patients With Apparent Stroke Procainamide Is Back STEMI: Fibrinolysis or PCI? Optimal Position for Pediatric LP A Unique Complication of RV Infarction Deterioration After Intubation for Asthma Vent Settings In The Post-Cardiac Arrest Period Exhaled CO2 Detectors – False Negative Readings First Line Therapy For Hyperemesis Gravidarum Cardioversion of Recent Onset A Fib in the ED Key Changes: The 2010 ACLS Guidelines Serotonin Syndrome – State of the Art Identifying A Posterior MI For Reperfusion Therapy Acute CHF with Prosthetic Heart Valve When Does A Traumatic Pneumothorax NOT Need a Chest Tube? Management of ICH Prescribing Steroids in the ED for Asthma Urine Drug Screens Consider Ultrasound As the Test of 1st Choice for PE PMN's may predominate in the CSF in early aseptic meningitis When to Consider Oral Contrast For Appendicitis CT Scan Stroke Thrombolysis: Unique Exclusion Criteria for the 3 - 4.5 Hour Window Early CT Signs of Ischemic Stroke Diagnosing Infectious Mononucleosis Acute Pericarditis: Colchicine ED Management of SAH: State-Of-The-Art Prothrombin Complex Concentrates to Reverse Warfarin Anticoagulation Febrile Neutropenia in the ED Cardiac CT in the Emergency Department When RSI Can Kill A Patient Delayed Sequence Intubation Proper Dosing of RSI Drugs In The Obese Adult Proper Position of A Central Line Pericarditis - When to Admit? Anticoagulation for Superficial Thrombophlebitis of the Leg t-PA For Stroke, Part 2: Practical Considerations ICH Management After Stroke Thrombolysis BNP: Important Caveats Pericarditis & Serum Troponin Elevation Beware Of Chest Pain That Radiates To The Right Arm Fluroquinolones, Benzodiazepines & CNS Toxicity Radiocontrast, Iodine, and Seafood Allergies Acetaminophen, Warfarin, And Elevated INR Management of Rhabdomyolysis Diagnosing SAH - Negative CT: MRI Instead of LP? Is A Right Ventricular Infarction Present? Acute Stroke, Neuroimaging, and Thrombolysis Pulmonary Embolism & Pregnancy Preventing Misplacement of a Subclavian Central Line Do Acute Stroke Patients Need Telemetry Admission? Send off that Urine for Culture! SLE & Premature CAD: Have A Low Threshold Treatment of Accidental Injection of Epinephrine into a Digit Sick Patient With Inferior STEMI? Consider This Diagnosis H1N1 - Clarifying Who Needs Treatment An Unappreciated Risk Factor For PE Blue Toe Syndrome - It Can Be Subtle in the ED Iliofemoral DVT MRI, Acute Abdominal Pain, and the Pregnant Patient Lipid Emulsion Antidote Unexplained Syncope An Important V. Tach. (Treated With Verapamil!) Treatment of Benign Positional Vertigo in the ED Management of New-Onset AF Methadone-induced QT prolongation Beware: NOT V. Tach! ED Feeding Tube Replacement - Is A Confirmatory X-ray Needed? Spontaneous Pneumomediastinum Transient Hypotension in the ED - Be Vigilant Transient ST-depression with Rapid AF - Significance? Platelet Transfusion Acute Treatment of a TIA Right-Sided Varicocele - Significance? Sensitivity of CT Scan for SAH The Safety of Metronidazole in Pregnancy Treatment of Herpes Zoster Peripheral Facial N. Palsy - Are You Sure It Is Benign? Medications That Spuriously Elevate the Serum Cr Level Updated Influenza Guidelines Choosing the Proper Lead for Cardioversion Methadone and QT Prolongation Proper Postreduction Management of Shoulder Dislocations Early Intubation For Sepsis (Even Without Respiratory failure) How Much Fluid To Administer in the ED For Sepsis? Bicarb For Hyperkalemia: Not What You Were Taught Treatment of Influenza What is the Duration of Postop Pneumoperitoneum? Imaging For The Occult Hip Fracture Opioid Allergy Pregnant Woman with A Possible PE: CT or V/Q? MI or Pericarditis? Ectopic Pregnancy and Low ß-hCG Levels Chilaiditi's Sign Takotsubo Cardiomyopathy ESBL-producing Bacteria & Emergency Medicine Cardiac Arrest with AICD in Place Antithrombotic Therapy in the ED for TIA/Stroke Adenosine For Wide Complex Tachycardia? Careful! Neostigmine for Acute Colonic Pseudo-Obstruction Low Molecular Weight Heparin and Acute PE Strokes in Younger Patients Auto-PEEP & post-intubation hypotension Exactly Who Needs Chemoprophylaxis Against Meningococcal Disease? Proper Position For Femoral Vein Access Hands-On Defibrillation First-Time Seizure in the ED Rhabdomyolysis and False Positive Troponin Elevation Promptly Making the Diagnosis of Retinal Detachment Cocaine-Associated MI Acute Ischemic Stroke - Supportive Measures in the ED Insulin: First-Line Therapy For Calcium-Channel Blocker Overdose Clostridium Difficile Infection Serum D-dimer and Acute Aortic Dissection Does Flumazenil Really Increase Seizure Risk? Identifying Pseudoseizures in the ED (With Accompanying Videos) Easily Excluding the Possibility of Shock from an MI Current Indications for Thrombolytic Therapy for Acute PE Hyphema? Always Consider Sickle Cell The Importance of ST Elevation in aVR The Pulmonary Embolism Rule-out Criteria (PERC Rule) Octreotide For Sulfonylurea-Induced Hypoglycemia Management of Massive Hemoptysis Current Status of Diagnosing SAH in the ED Cough and Cold Medications in Children less than 2 Years Is your ED patient safe for MRI? Hyperkalemia (4 Pearls) Anticoagulation & False Negative D-dimers Bacterial Meningitis: 5 Things to Know Young Patients With Syncope Treatment of Bell's Palsy - The Latest My Drink Was Spiked Post-Dural Puncture Headaches Going Easy on The Diuresis for Some CHF Patients False-positive and False-negative Dipstick Urinalysis Results Nebulized Lidocaine for Cough & Asthma Therapeutic Hypothermia Following Cardiac Arrest TASER Firing - Is Cardiac Monitoring Necessary? Administer Empiric Acyclovir Therapy in the ED for Encephalitis The Deep Sulcus Sign The Oxygen Saturation Gap Diverticulitis in Young Patients Failure to Remove Patients From Backboards in the ED Serum Prolactin To Diagnose A Seizure 2007 Pneumonia Guidelines - Important Changes for the EP Heterotopic Pregnancy Flumazenil? No! Wide Complex A. Fib. - Avoid the Reflexive Reach for a Ca-Channel Blocker Splenic Artery Aneurysm on CT - What Do You Tell The Patient? Bleeding from a Tracheostomy? Don't Miss a TIF! Important Change to CDC's STD Treatment Guidelines Proper Ventilator Settings in Severe Asthma Hypokalemia! Stable V. Tach: Amiodarone? Procainamide? Neither? Etomidate, RSI, and Adrenal Suppression Cephalosporins in the Setting of a PCN Allergy: What is the Truth? What Are the Incidences of PE & DVT after Placement of IVC Filters? Septic Arthritis or Crystal Arthritis? Epiploic Appendagitis Upper Urinary Infection - Is There Thrombocytosis? Blue Toe Syndrome Omphalitis in the Adult Hepatic Portal Venous Gas On CT Scan in the ED Atropine Prior to Succinylcholine for Pediatric RSI? Dexamethasone for Treatment of Benign Headache in the ED Ketamine for ED Pediatric Procedural Sedation: IV or IM? MRI, Stroke, and the Emergency Physician Antibiotics and Oral Contraceptive Failure CT for Appendicitis in the ED: Contrast Needed? What Route? Prophylactic Lorazepam in the ED for Alcohol-Related Seizures RV MI mimicking Anterior MI on EKG An Important Risk Factor for ED Patients Presenting With Syncope Routine ß-blockers for Acute MI? Complications of Bariatric Surgery Presenting to the ED Pulse Ox Readings In the Presence Of Dyshemoglobinemias Use of Steroids in the ED for Sepsis Abdominal Pain After Methotrexate for Ectopic Pregnancy Oral Ondansetron for Pediatric Gastroenteritis Are You Still Using Epinephrine Subcutaneously? Caution Using BNP for CHF with a History of Atrial Fibrillation COPD in the ED - When to Consider the Diagnosis of Pulmonary Embolism Flumazenil & Hepatic Encephalopathy in the ED Pill-in-the-Pocket Approach to SVT Complications of Percutaneous Coronary Intervention Presenting to the ED CA-MRSA: Current Treatment Recommendations Approach to the Multiply Injured Patient with Pelvic Fractures Important Change in CDC Recommendations for the Treatment of Influenza Causes of False-Positive & False-Negative End-Tidal CO2 Detector Readings Aminophylline for AV block in acute inferior MI Seafood Allergy & Radiographic Contrast Media Common medications that cause Photosensitivity (with an interesting photo) Cardiac Arrest in Pregnancy: Differential Diagnosis Major Changes to the New 2005 ACLS Guidelines Tamsulosin For Ureteral Colic NAFLD: The Most Common Cause of Abnormal LFT's, but Underrecognized in the ED Properly Adjusting the Dilantin Dose in the ED CSF tests: Appropriate Ordering & Indications Influenza, Anti-Viral Medications, and Avian Flu IVC Filters - What the Emergency Physician Needs to Know Inadvertent Ocular Exposure to Cyanoacrylate-Based Glues Elevated Troponin - Pulmonary Embolism? A Possible Cause for the Dreaded General Weakness A Test to Detect Chest Tube Kinking - Before Securing A Simple Empirical Guide to Antimicrobial Therapy for Acute Infectious Diarrhea 6 Facts about acute Inferior MI Enoxaparin vs. Heparin for ACS & PCI Acute Stroke and Hyperglycemia Transfusion-Related Acute Lung Injury Causes of BNP Elevation in Dyspneic Patients Without CHF Is coagulopathy a contraindication to paracentesis? Nebulized Epi for Oropharyngeal Bleeding Consider Pertussis! (and listen to the audio) Troponin elevations in the absence of acute coronary syndrome Buprenorphine (Suboxone) Radiographic Studies and the Pregnant Patient Acute HIV Syndrome Shoulder Dislocation: ED Pearls Pediatric Oral Hypoglycemic Ingestion TIPS Stenosis in the ED Community-Acquired MRSA Beta Blockers in Acute MI: Current Recommendations & Contraindications Anticonvulsant Treatment Following a First-Time Seizure Use of a Pacemaker Magnet in the ED Chest Pain Relief by NTG Doesn't Predict Active CAD Facial Nerve Palsy Adie's Tonic Pupil Heparin-induced thrombocytopenia in the ED An ominous and overlooked cause of shoulder pain CXR vs. BNP for Diagnosing CHF in the ED Single-Dose PO Steroid Treatment for Croup Thrombolytic Dose for PE with Cardiac Arrest Drugs Past their Expiration Date Food Allergy Anaphylaxis: Beware the Biphasic Response Acute Chest Syndrome Methamphetamine Abuse EKG Predictors of Reperfusion Emergency Physicians & DVT Selecting an Antihypertensive Agent Drugs to Avoid in Myasthenia Gravis Blunt Aortic Injury: Conservative Management Autonomic Dysreflexia High-Risk TIA Patients Elevated Hematocrit with Acute Pancreatitis Beware of Hoarseness Use of Albumin Following Paracentesis in the ED EKG & AMI Location Adjuvant Steroid Therapy in Acute Bacterial Meningitis Preventing Contrast-Induced Nephropathy Meningococcal Disease & Risk to Contacts Using BNP Levels to Diagnose CHF Acute Whiplash Injury A Maneuver For the Difficult Airway The Brugada Syndrome Post-Traumatic Testicular Torsion: A Reminder Promptly diagnosing Ethylene Glycol poisoning Fever in Children less than 36 months Acute MI: Lytics or transfer for PCTA? Current management of acute cystitis Octreotide for Refractory Hypoglycemia Prescribing Steroids from the ED for COPD Maximum doses of infiltrative anesthesia Adverse Events Following Smallpox Vaccination The management of varicella-zoster virus exposure and infection during pregnancy NSAID Exacerbation of Heart Failure Medications causing psychiatric symptoms Occupational Exposures to HIV: Current Facts Appendicitis: Clinical Pearls Venous blood to screen for CO poisoning Treatment of Community Acquired Pneumonia What to do with the TIA in the ED? Delayed Antibiotic Strategy For Acute Otitis SYNCOPE! Conditions that will cause a positive D-dimer result Emergency Contraception Do Not Hyperventilate for Traumatic Brain Injury Cardiac Troponins: Recent Pearls for EM Practice The Droperidol "Black Box" Warning Current recommendations for use of anti-D immune globulin (Rhogam) in the emergency department 2002 STD Treatment Guidelines: Pearls for Emergency Physicians DKA and HHS: Current Treatment Acute Exacerbations of COPD Hyperpronation Maneuver for Nursemaid's Elbow Biphasic Defibrillation ACLS 2000 Guidelines: Corrections and Updates Succinylcholine: Clarification of Cautions and Contraindications Smoke Inhalation: Managing the Possibility of Cyanide Poisoning Lubrication of endotracheal tubes - Even when not required for lubrication alone Steroids in Acute Asthma - Do We Taper? When to transfuse in the setting of acute MI: Our practice is updated Anthrax, bioterrorism: concise reference with useful links Diagnosing acute compartment syndrome: Not relying on the 5 P's Chest pain pearls for the emergency physician: Risk Stratification Management of Aphthous Ulcers Octreotide for the treatment of acute variceal hemorrhage Overlooked Sources of Ethanol (Non-beverage Ethanol) Dextromethorphan and the Serotonin Syndrome Metformin: Unique properties of importance in emergency medicine Comprehensive Guidelines for the Management of Occupational Exposures Single dose prophylaxis for Lyme disease following tick bite Normal CK, Elevated MB - significance? A reminder: current management of acute otitis media Pediatric Syncope in the ED Initial fluid management of DKA in Children Prevention of Post-Lumbar Puncture Headache Guidelines for the appropriate use of antibiotics in respiratory infections Two ED Clues to Acute MI Patients at High Risk The Crying Infant in the ED: A Checklist to Consider A Simple and Effective Treatment for Benign Positional Vertigo Twice-Daily Penicillin Dosing for Strep Pharyngitis Ten Orthopedic Injuries That Commonly Escape Detection In The ED Management of Mushroom Poisoning Clues to the Etiology of Pediatric Otitis Media: Judicious Antibiotic Selection Significance of Gross Hematuria in the Anticoagulated Patient Preventing Side Effects During Emergency Contraception A simple test to distinguish benign mothball exposure from toxic ingestion ACLS 2000: a list of the significant changes that impact our practice immediately Crochetage: An independent EKG sign of ASD Fluoroquinolones in Emergency Medicine Practice Important grapefruit juice interactions with commonly encountered medications Two Overlooked Sources of Pediatric Streptococcal Infection Acute Aortic Dissection: Conventional Teachings Shattered Treatment of Postdural Puncture Headache with Caffeine Serotonin Syndrome: Pearls ACE Inhibitor-Induced Angioedema: Pearls Performing an LP on patients with Hemophilia Reasons for the misdiagnosis of Subarachnoid Hemorrhage Procedures that carry the greatest risk of air embolism Flumazenil: Tricks of the trade Have a low threshold for obtaining X-rays in these patients Use of Phentolamine in the management of cocaine induced ischemic chest pain Reversal of Clonidine toxicity When are Pro-Time INR's unreliable? Nebulized albuterol for acute hyperkalemia in patients on dialysis Subscribe Today Close