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Title Posted  
Testicular Torsion Pain Honeymoon December 6, 2017
Check For Ketones In These ED Patients November 29, 2017
Evaluate Your Treatment of Status Epilepticus November 22, 2017
Notes on PVCs November 15, 2017
Less Insulin for Hyperkalemia in the CKD Patient November 8, 2017
Periprosthetic Joint Infection (Part 2): Making The Diagnosis November 1, 2017
Periprosthetic Joint Infection (Part 1) October 25, 2017
ED Patient on Anticoagulation with new VTE: IVC Filter? October 18, 2017
Antibiotics & Uncomplicated Skin Abscess October 11, 2017
Recognizing Baclofen Pump Complications in the ED October 4, 2017
ACS in A Patient Under Age 40? September 27, 2017
Pediatric Lethargy, Ataxia? September 20, 2017
Don't Remove That Central Line: It May Not Be Malpositioned September 13, 2017
Carfentanil September 6, 2017
Paracentesis & The Emergency Physician August 30, 2017
Benzo Withdrawal in the ED August 23, 2017
Diagnosing Acute HIV Infection in the ED August 16, 2017
Coma following Cardiac Arrest? Consider NCSE August 9, 2017
Limb-Shaking TIA: Not A Seizure August 2, 2017
Viral Meningitis July 26, 2017
MRI-Negative Acute Ischemic Stroke July 19, 2017
Impact of Hospital Admission for TIA July 12, 2017
Post-Thrombolytic ICH – What if Blood Products Are Refused? July 5, 2017
6 Things Your Colleagues May Not Know - Do You? June 28, 2017
It's An Infarct. Not Ischemia. June 21, 2017
Pediatric Magnet Ingestion June 14, 2017
Atlantoaxial Rotatory Subluxation in Children June 7, 2017
CTA Spot Sign May 31, 2017
ED Patient With History Of Ablation for AF? Know This Complication May 24, 2017
Immune Reconstitution Inflammatory Syndrome – Now You Know May 17, 2017
Superior Vena Cava Syndrome in the ED May 10, 2017
Acute Altered Mental Status: D-Lactic Acidosis? May 3, 2017
CTA for PE Shows RV Strain – Reliable? April 26, 2017
Cannabinoid Hyperemesis Syndrome – ED Management April 19, 2017
The Subtle STEMI April 12, 2017
SCIWORA April 5, 2017
Febrile Neonate – What About HSV? March 29, 2017
Nonaccidental Trauma Fracture Patterns March 22, 2017
ED Patient On Naltrexone. How To Treat Acute Pain? March 15, 2017
Intranasal Meds in the ED March 8, 2017
Dipstick Negative Dilute Urine – Is A Pediatric UTI Really Excluded? March 1, 2017
Benzo-Resistant Alcohol Withdrawal – Now What? February 22, 2017
Pediatric SVT In Actual Practice February 15, 2017
Intractable Vomiting: Clue In Plain Neck Films February 8, 2017
EMTALA & You February 1, 2017
Rhabdo & Elevated Liver Enzymes. Significance? January 25, 2017
14 Fr Pigtail Catheters For Trauma January 18, 2017
The Crashing A Fib Patient in the ED January 11, 2017
Recognizing Painless Acute Aortic Dissection in the ED January 4, 2017
Ketamine Sedation – Best Practices December 28, 2016
IV Ketorolac in the ED: 10 mg December 21, 2016
Anal Fissures in the ED December 14, 2016
Acute Limb Ischemia December 7, 2016
Pelvic Fracture With Hemodynamic Instability: Management? November 30, 2016
What Is the Value Of The Initial APAP Level? November 23, 2016
Acute Gout – Which Medication To Prescribe? November 16, 2016
Midazolam-Induced Paradoxical Reactions November 9, 2016
ED Management of Acute Lower GI Bleeding November 2, 2016
Pediatric PE October 26, 2016
Thrombolysis for Ischemic Stroke during Pregnancy? October 19, 2016
ICH Following tPA for Acute Stroke October 12, 2016
Detection Times in Urine of Drugs of Abuse October 5, 2016
Scombroid Poisoning Or Fish Allergy? September 28, 2016
Recurrent (Stump) Appendicitis September 21, 2016
Getting A CTA for PE If the IV is Inadequate September 14, 2016
Cardiovascular Implantable Electronic Device Infection September 7, 2016
5 Must-Recognize High-Risk ECG Patterns August 31, 2016
EVAR Patients In The ED – Know The Complications August 24, 2016
PO Contrast for Abd-Pelvic CT: Current Role? When Is It Needed? August 17, 2016
Resist The Temptation To Debride August 10, 2016
High BP In The Office: Send to ED. Really? August 3, 2016
Acute PE With PEA July 27, 2016
Pediatric Laundry Detergent Pod Toxicity July 20, 2016
Refractory VFib – Now What? July 13, 2016
S/P Ablation for AF? Don’t Miss This Diagnosis July 6, 2016
Contrast Extravasation: “Send To The ED” June 29, 2016
Missed Diagnoses of Stroke in the ED June 22, 2016
Vent Settings Made Easy June 15, 2016
Cerebral Venous Thrombosis - When to Suspect it in the ED June 8, 2016
Clues To the Cause of Acute Stroke June 1, 2016
The Critical ED Patient With Cirrhosis: 7 Things You Need To Know May 25, 2016
Consider This If An Asthmatic Appears Worse May 18, 2016
2016 PEP for HIV After Sexual or IVDA Exposure May 11, 2016
ALTE? Now it’s BRUE May 4, 2016
C. Diff Treatment Update April 27, 2016
Bleeding From Trach? Don’t Miss a TIF April 20, 2016
6 UTI Myths April 13, 2016
Simple Viral Syndrome or Tick-Borne Illness? April 6, 2016
Preventing Poisoning-Related Fatalities March 30, 2016
Low-Dose CT Protocol For Ureteral Stones March 23, 2016
False-Positive Urine Drug Screens March 16, 2016
ICD and the Emergency Physician March 9, 2016
Rocuronium For RSI: Two Thoughts March 2, 2016
Updated Sepsis Definition (SIRS Is Out) February 24, 2016
ECPR in the ED: Current Status February 17, 2016
Smoke Inhalation - When to Treat for Cyanide Toxicity? February 10, 2016
A Diagnosis To Consider Before Rushing to Give the t-PA February 3, 2016
Forearm Lacerations in the ED January 27, 2016
Updated VTE Guidelines of Interest January 20, 2016
Calf DVT - Anticoagulate? The Latest Recommendation January 13, 2016
Central Line Insertion: Identifying Malposition in Real Time January 6, 2016
Central Line Insertion: Avoiding Malposition December 30, 2015
Superficial Thrombophlebitis - Anticoagulate? December 23, 2015
CT Sign of Impending AAA Rupture December 16, 2015
Diverticulitis - What’s New December 9, 2015
Facial Nerve Palsy - When It’s Not Bell’s Palsy December 2, 2015
Elevated Lipase - Not Pancreatitis November 25, 2015
Figuring Out Coma November 18, 2015
Reducing DTB Times – Increasing Mortality November 11, 2015
Elevated Ammonia, Normal LFT's - Valproic Acid Overdose November 4, 2015
Post-Cardiac Arrest Care October 28, 2015
Just-Released Updated ACLS Guidelines October 21, 2015
Refractory Hypoxemia in the ED October 14, 2015
Necrotizing Fasciitis - Making The Diagnosis The First Time October 7, 2015
Hemoptysis in the ED - A Temporizing Solution September 30, 2015
False Positive Troponin Elevation September 23, 2015
Renal Colic Clinically, but CT Negative. Next Step? September 16, 2015
The Pregnant Trauma Patient September 9, 2015
Recognizing a Pediatric Lithium Battery Ingestion September 2, 2015
Stroke Thrombolysis & Acute Angioedema August 26, 2015
Facial Numbness - Can it Still Be Bell's Palsy? August 19, 2015
VTE In Pregnancy August 12, 2015
The Crashing Patient With Pulmonary Hypertension in the ED August 5, 2015
Drug-Induced Seizure? Do Not Order Phenytoin July 29, 2015
Codeine & Acute Abdominal Pain: Under-Recognized and Easily Treated July 22, 2015
UTI - Or Really A Sexually Transmitted Infection? July 15, 2015
PCI Following OHCA Even Without ST-Elevation July 8, 2015
ACEI-induced Angioedema: Identifying Patients At Greatest Risk July 1, 2015
Hyperosmolar Hyperglycemic State: Immediate Insulin is Dangerous June 24, 2015
Acetaminophen Poisoning From Therapeutic Dosing - Now What? June 17, 2015
Elevated Lactate - Normal AG, Bicarb June 10, 2015
Unexpectedly High WBC in a Child – Do A Mega-Workup? June 3, 2015
Unprovoked First Seizure - Answering The Questions May 27, 2015
Appendicitis: Antibiotics, Not Surgery? May 20, 2015
Levetiracetam For Status Eplipticus May 13, 2015
Distinguishing LE Cellulitis in the ED From Many Mimcs April 29, 2015
C. Diff Infection - Important Treatment Caveats April 22, 2015
PE or STEMI? NO. PE AND STEMI April 15, 2015
2 Pediatric Ingestions Coming to Your ED April 8, 2015
WCT: Easily Nailing VT As The Cause April 1, 2015
Avoiding 2 Complications of Central Line Placement March 25, 2015
7 Adverse Drug Events To Avoid in ED Patients March 18, 2015
Persistent Cough? Why You Should Consider Pertussis March 11, 2015
A. Fib in the ED, Part 2: Disposition March 4, 2015
A. Fib in the ED, Part 1: Cardioversion for Rhythm Control February 25, 2015
TGA - What You Need To Know February 18, 2015
Improving Neuro Symptoms - TIA or Not? February 11, 2015
Cirrhosis with Infection in the ED - Expert Management February 4, 2015
Pseudolithiasis January 28, 2015
Spinal Cord Injury - Thoughts To Keep In Mind January 14, 2015
7 Things Your Colleagues May Not Know - Do You? January 7, 2015
Refractory ETOH Withdrawal? Consider DEX December 24, 2014
LVAD? Think GI Bleed December 17, 2014
Decreased Influenza Vaccine Efficacy This Year December 10, 2014
AAA Found Incidentally in the ED. Now What? December 3, 2014
Rethinking Ultrasound for DVT November 26, 2014
Thrombocytopenia: Platelet Transfusion for Central Line or LP? November 19, 2014
HIV PEP - Is Your Practice Up To Date? November 12, 2014
Oral Medication - NOT IM - For ED Agitation November 5, 2014
Community-Acquired Pneumonia October 29, 2014
Acute Pulmonary Edema – Normal BNP. Why? October 15, 2014
Ebola Algorithm for the ED: Rational & Simple October 8, 2014
New NSTEMI Guidelines & The EP October 1, 2014
3 Things You Need To Know About Variceal Bleeding September 24, 2014
Paradigm Shift: NO FFP For Variceal Bleeding with High INR September 17, 2014
Incidental PE. Subsegmental PE. Do You Treat? September 10, 2014
Antiplatelet Therapy, TBI, and ICH. Transfuse Platelets? September 3, 2014
Methadone/Buprenorphine & ED Pain Management August 27, 2014
Acute Stroke and the Troponin is Elevated - Significance? August 20, 2014
Gadolinium MRI and the Dialysis Patient August 13, 2014
Tympanostomy with Discharge – Treatment? August 6, 2014
The Asplenic Patient - What it Means For the Emergency Physician July 30, 2014
4 Ways to Harm a Critical ED Patient By Doing the “Usual Thing” July 23, 2014
False Localizing Spinal Levels – Don’t Get Fooled July 16, 2014
Variation In Prescribing of Opioids and Benzodiazepines July 9, 2014
Antibiotics for Cutaneous Abscesses? July 2, 2014
Cellulitis in the ED: Admit or Outpatient Therapy? June 25, 2014
Steroids for acute COPD: UPDATE June 18, 2014
Steroids for COPD: What Dose? June 11, 2014
Acute Stroke – False Negative MRI June 4, 2014
Lactate Shortcomings – Don’t Get Fooled May 28, 2014
Topical TXA – A Myriad of ED Uses May 21, 2014
When To Transfuse? May 14, 2014
The Potential Harm of Oxygen in ED Patients May 7, 2014
Current Management of ICH after tPA April 30, 2014
IV Fluids in the Critically Ill April 23, 2014
Hymenoptera-Sting Hypersensitivity: Not The Usual Info April 16, 2014
Acute Stroke with NIHSS Score of 0 April 9, 2014
PPIs: Adverse Effects, Including C. Diff April 2, 2014
CAP ICU Admit – Fluoroquinolone or Macrolide? March 26, 2014
Is That DVT Acute? March 19, 2014
Pediatric Asthma? Use Dexamethasone March 12, 2014
There is LVH – But is there a STEMI? March 5, 2014
Current Management of Morel-Lavallee lesions February 26, 2014
How Much ST-Elevation is ST-Elevation? February 19, 2014
V Fib That Won’t Respond – Now What? February 12, 2014
Hepatic Encephalopathy – Management in 2014 February 5, 2014
Pacemaker/AICD Erosion January 29, 2014
Diagnosing Prosthetic Joint Infection in the ED January 22, 2014
LVAD Thrombosis in the ED January 15, 2014
Acute Liver Failure January 8, 2014
2014 Hypertension Management December 25, 2013
Pediatric Respiratory Infections – Are You Choosing Wisely? December 18, 2013
Role of CK-MB in an Era of High-Sensitivity Troponins? December 11, 2013
Abdominal Compartment Syndrome December 4, 2013
Bleeding And On Dabigatran – Now What? November 20, 2013
Drug-Induced Anemia November 13, 2013
Ashman’s Phenomenon November 6, 2013
TRALI in the ED October 30, 2013
Nonviable Pregnancy Early in the 1st Trimester - Part 2 October 23, 2013
Diagnosing Nonviable Pregnancy Early in the 1st Trimester October 16, 2013
Acute Gouty Arthritis in the ED October 9, 2013
Aortoenteric Fistula October 2, 2013
To The Cath Lab – In V Fib September 25, 2013
Acute Aortic Syndrome September 18, 2013
Acute Pancreatitis September 11, 2013
ECMO and The Emergency Physician September 4, 2013
Severe Sepsis in Kids – Important Differences August 28, 2013
Current Estimated Risks of Blood Transfusion August 21, 2013
Identifying A Warning Leak August 14, 2013
Management of An Elevated INR August 7, 2013
Status Epilepticus July 31, 2013
Pediatric HHS: Becoming More Frequent July 24, 2013
Difficult To Diagnose Pain: An Etiology July 3, 2013
Necrotizing Fasciitis June 26, 2013
Paralytic Agents for RSI: Fun Facts June 19, 2013
Lipid Emulsion Therapy: Current Status June 12, 2013
Acute Coronary Syndrome: Current Understanding May 29, 2013
Digoxin Toxicity With Normal Digoxin Levels May 22, 2013
Needle Aspiration & Spontaneous Pneumothorax May 15, 2013
New ATLS: Start Resuscitation Earlier May 8, 2013
Management of Epinephrine-Resistant Anaphylaxis May 1, 2013
The End of Steroids for Acute Spinal Injury? April 24, 2013
Acute HIV infection & The Emergency Physician April 10, 2013
New Otitis Media Treatment Guidelines April 3, 2013
Button-battery Ingestion March 27, 2013
Stroke Patients With Rapidly Improving Signs March 20, 2013
Needle Thoracostomy: What Location? March 13, 2013
New Stroke Guidelines March 6, 2013
STEMI-Equivalents February 20, 2013
Updated Sepsis Guidelines - Implications for EM February 13, 2013
2013 ACCF/AHA STEMI Guidelines: Pearl Part 2 February 6, 2013
2013 ACCF/AHA STEMI Guidelines: Pearl Part 1 January 30, 2013
CDC Health Advisory: Influenza Antiviral Medications January 23, 2013
Acute PE? Just Take This Pill January 16, 2013
Bell’s Palsy: Recent Guidelines January 9, 2013
A Reminder: PCCs To Reverse New Oral Factor Xa Inhibitors in the ED January 2, 2013
Tranexamic Acid December 19, 2012
ED Central Line Insertion – Is There an IVC Filter? December 12, 2012
Clavicular Fractures – The Shift Towards Operative Management December 5, 2012
Diagnosing Cardiac Contusion November 28, 2012
Accidental Hypothermia & ECMO November 21, 2012
Clostridium difficile Infection November 14, 2012
2012 Subarachnoid Hemorrhage Guidelines November 7, 2012
How Low Can You Correct An INR With FFP?  October 24, 2012
Strokes in Children October 17, 2012
Children and Codeine October 10, 2012
Acute Sinusitis (Part 2): Treatment October 3, 2012
Acute Sinusitis (Part 1): When To Prescribe Antibiotics? September 26, 2012
Ischemic Colitis September 19, 2012
A Clue to the Presence of PE August 29, 2012
Isolated Calf DVT – Anticoagulate? August 22, 2012
Update to CDC's STD Treatment Guidelines August 15, 2012
Acute Pulmonary Embolism – Discharge Home From the ED August 1, 2012
Pitfalls of Opioid Overdose Management July 25, 2012
Giving Rhogam To A Man? July 18, 2012
Recurrent CA-MRSA Infection? Decolonization July 11, 2012
VBG Instead of ABG? July 4, 2012
Iodinated Contrast and The Dialysis Patient June 27, 2012
Elevated Troponin, Acute SMA Occlusion June 20, 2012
Acute Limb Ischemia June 13, 2012
NG Lavage for GI Bleeding? June 6, 2012
Single Dose IM Methadone for Acute Opioid Withdrawal May 23, 2012
Easily Controlling Post-Hemodialysis Site Hemorrhage May 9, 2012
Pulse Oximetry Latency – Don’t Get Misled May 2, 2012
Emergency Physicians & VAP April 25, 2012
“Bath Salts” April 18, 2012
Phenobarbital for Alcohol Withdrawal When Benzos Not Available April 11, 2012
Postpartum Preeclampsia April 4, 2012
3rd CN Palsy – Urgent CTA or MRA March 28, 2012
Peripheral Vs. Central Vertigo – 3 Findings More Sensitive Than MRI March 14, 2012
Ondansetron: QT Interval Prolongation March 7, 2012
SAH & Neurogenic Pulmonary Edema – Avoid Diuresis February 29, 2012
Prehospital IM Midazolam for Seizures February 22, 2012
Current Treatment for HAE February 15, 2012
RSI: Pearls For The Early Steps February 8, 2012
NSAIDs, Sulfonylureas, & Hypoglycemia February 1, 2012
Migraines and OCPs January 25, 2012
Heavy Menstrual Bleeding? NSAIDS! January 18, 2012
Abnormal LFT’s? Consider NAFLD January 11, 2012
Two EKG Pearls January 4, 2012
Umbilical Erythema in the Neonate: A Sign of CMPI December 28, 2011
Think Endocarditis in Young Patients With Apparent Stroke December 21, 2011
Cocaine-Associated Chest Pain December 14, 2011
ED Adherence to AHA Guidelines for BP Management in Acute Stroke December 7, 2011
Unilateral Pulmonary Edema November 30, 2011
Influenza In a Healthy Person – Antivirals? November 16, 2011
Chest Tube in Lung Fissure - What Now? November 9, 2011
Repeating a Normal APAP Level? November 2, 2011
The Significance Of Outward Remodeling October 26, 2011
Peritoneal Dialysis Patients With Peritonitis October 19, 2011
Adenosine October 12, 2011
Cardiac Tamponade: Don’t Exclude The Diagnosis Because of Normotension October 5, 2011
Carotid Artery Dissection September 28, 2011
FFP For ACE-Inhibitor Induced Angioedema September 21, 2011
Updated Pediatric UTI Guidelines September 14, 2011
Reexpansion Pulmonary Edema September 7, 2011
Treatment of Smoke Inhalation August 31, 2011
False Negative Urine Pregnancy Tests – How? August 24, 2011
Updates to Pediatric ACLS August 17, 2011
When is ED Thoractomy Futile? August 10, 2011
Pediatric Febrile UTI July 27, 2011
Use of Cephalosporins in PCN-Allergic Patients July 20, 2011
Recent AHA Scientific Statement: Treatment Of Submassive PE July 13, 2011
Antibiotics in the ED for UGI Hemorrhage July 6, 2011
Painless Acute Aortic Dissection June 22, 2011
Current Management of Uncomplicated UTI in Women June 8, 2011
Lead aVR: Often Ignored, But Valuable June 1, 2011
Type 2 Diabetes Presenting as DKA May 25, 2011
Current Management of Acute ITP May 18, 2011
Reducing An Intestinal Prolapse May 11, 2011
Acute Sinusitis: Viral or Bacterial? May 4, 2011
New LBBB: Still An Indication For Reperfusion Therapy? April 27, 2011
Infectious Mononucleosis April 20, 2011
Treatment of Extravasation April 13, 2011
Retroperitoneal Hemorrhage April 6, 2011
Acute Floaters/Flashes: Retinal Detachment? March 30, 2011
One Pill Can Kill March 23, 2011
ED Intubation of the Obese Patient - Propoer Position March 16, 2011
Upper Extremity DVT March 9, 2011
Accounting for the Negative Benzodiazepine Urine Drug Screen March 2, 2011
Streptococcal Pharyngitis February 23, 2011
Advanced Management of DVT February 16, 2011
Digoxin Toxicity & Hyperkalemia - IV Calcium? February 9, 2011
Dabigatran February 2, 2011
Antihypertensive Therapy for Acute Ischemic Stroke January 26, 2011
Aseptic Meningitis? Consider This Diagnosis January 19, 2011
Pediatric Intubation: Cuffed Or Uncuffed? January 12, 2011
Think Endocarditis in Young Patients With Apparent Stroke January 5, 2011
Procainamide Is Back December 29, 2010
STEMI: Fibrinolysis or PCI? December 22, 2010
Optimal Position for Pediatric LP December 15, 2010
A Unique Complication of RV Infarction December 8, 2010
Deterioration After Intubation for Asthma December 1, 2010
Vent Settings In The Post-Cardiac Arrest Period November 24, 2010
Exhaled CO2 Detectors – False Negative Readings November 17, 2010
First Line Therapy For Hyperemesis Gravidarum November 10, 2010
Cardioversion of Recent Onset A Fib in the ED November 3, 2010
Key Changes: The 2010 ACLS Guidelines October 27, 2010
Serotonin Syndrome – State of the Art October 20, 2010
Identifying A Posterior MI For Reperfusion Therapy October 6, 2010
Acute CHF with Prosthetic Heart Valve September 29, 2010
When Does A Traumatic Pneumothorax NOT Need a Chest Tube? September 22, 2010
Management of ICH September 1, 2010
Prescribing Steroids in the ED for Asthma August 25, 2010
Urine Drug Screens August 18, 2010
Consider Ultrasound As the Test of 1st Choice for PE July 21, 2010
PMN's may predominate in the CSF in early aseptic meningitis July 14, 2010
When to Consider Oral Contrast For Appendicitis CT Scan July 7, 2010
Stroke Thrombolysis: Unique Exclusion Criteria for the 3 - 4.5 Hour Window June 30, 2010
Early CT Signs of Ischemic Stroke June 23, 2010
Diagnosing Infectious Mononucleosis June 16, 2010
Acute Pericarditis: Colchicine June 9, 2010
ED Management of SAH: State-Of-The-Art June 2, 2010
Prothrombin Complex Concentrates to Reverse Warfarin Anticoagulation May 26, 2010
Febrile Neutropenia in the ED May 19, 2010
Cardiac CT in the Emergency Department May 12, 2010
When RSI Can Kill A Patient May 5, 2010
Delayed Sequence Intubation April 28, 2010
Proper Dosing of RSI Drugs In The Obese Adult April 21, 2010
Proper Position of A Central Line April 7, 2010
Pericarditis - When to Admit? March 31, 2010
t-PA For Stroke, Part 2: Practical Considerations March 17, 2010
ICH Management After Stroke Thrombolysis March 10, 2010
BNP: Important Caveats March 3, 2010
Pericarditis & Serum Troponin Elevation February 24, 2010
Beware Of Chest Pain That Radiates To The Right Arm February 10, 2010
Fluroquinolones, Benzodiazepines & CNS Toxicity February 3, 2010
Radiocontrast, Iodine, and Seafood Allergies January 27, 2010
Acetaminophen, Warfarin, And Elevated INR January 20, 2010
Management of Rhabdomyolysis January 13, 2010
Diagnosing SAH - Negative CT: MRI Instead of LP? January 6, 2010
Is A Right Ventricular Infarction Present? December 30, 2009
Acute Stroke, Neuroimaging, and Thrombolysis December 23, 2009
Pulmonary Embolism & Pregnancy December 16, 2009
Preventing Misplacement of a Subclavian Central Line December 9, 2009
Do Acute Stroke Patients Need Telemetry Admission? December 2, 2009
Send off that Urine for Culture! November 25, 2009
SLE & Premature CAD: Have A Low Threshold November 18, 2009
Treatment of Accidental Injection of Epinephrine into a Digit November 11, 2009
Sick Patient With Inferior STEMI? Consider This Diagnosis November 4, 2009
H1N1 - Clarifying Who Needs Treatment October 28, 2009
An Unappreciated Risk Factor For PE October 21, 2009
Blue Toe Syndrome - It Can Be Subtle in the ED October 14, 2009
Iliofemoral DVT October 7, 2009
MRI, Acute Abdominal Pain, and the Pregnant Patient September 30, 2009
Lipid Emulsion Antidote September 23, 2009
Unexplained Syncope September 9, 2009
An Important V. Tach. (Treated With Verapamil!) September 2, 2009
Treatment of Benign Positional Vertigo in the ED August 19, 2009
Management of New-Onset AF August 12, 2009
Methadone-induced QT prolongation August 5, 2009
Beware: NOT V. Tach! July 29, 2009
ED Feeding Tube Replacement - Is A Confirmatory X-ray Needed? July 22, 2009
Spontaneous Pneumomediastinum July 15, 2009
Transient Hypotension in the ED - Be Vigilant June 17, 2009
Transient ST-depression with Rapid AF - Significance? June 10, 2009
Platelet Transfusion June 3, 2009
Acute Treatment of a TIA May 27, 2009
Right-Sided Varicocele - Significance? April 29, 2009
Sensitivity of CT Scan for SAH April 15, 2009
The Safety of Metronidazole in Pregnancy April 8, 2009
Treatment of Herpes Zoster April 1, 2009
"Peripheral" Facial N. Palsy - Are You Sure It Is Benign? March 25, 2009
Medications That Spuriously Elevate the Serum Cr Level March 18, 2009
Updated Influenza Guidelines March 11, 2009
Choosing the Proper Lead for Cardioversion February 18, 2009
Methadone and QT Prolongation February 11, 2009
Proper Postreduction Management of Shoulder Dislocations February 4, 2009
Early Intubation For Sepsis (Even Without Respiratory failure) January 28, 2009
How Much Fluid To Administer in the ED For Sepsis? January 7, 2009
Bicarb For Hyperkalemia: Not What You Were Taught December 24, 2008
Treatment of Influenza December 17, 2008
What is the Duration of Postop Pneumoperitoneum? December 10, 2008
Imaging For The Occult Hip Fracture December 3, 2008
Opioid Allergy November 19, 2008
Pregnant Woman with A Possible PE: CT or V/Q? November 12, 2008
MI or Pericarditis? November 5, 2008
Ectopic Pregnancy and Low ß-hCG Levels October 29, 2008
Chilaiditi’s Sign October 22, 2008
Takotsubo Cardiomyopathy October 15, 2008
ESBL-producing Bacteria & Emergency Medicine October 8, 2008
Cardiac Arrest with AICD in Place September 24, 2008
Antithrombotic Therapy in the ED for TIA/Stroke September 17, 2008
Adenosine For Wide Complex Tachycardia? Careful! September 10, 2008
Neostigmine for Acute Colonic Pseudo-Obstruction September 3, 2008
Low Molecular Weight Heparin and Acute PE August 27, 2008
Strokes in Younger Patients August 20, 2008
Auto-PEEP & post-intubation hypotension August 13, 2008
Exactly Who Needs Chemoprophylaxis Against Meningococcal Disease? August 6, 2008
Proper Position For Femoral Vein Access July 30, 2008
Hands-On Defibrillation July 23, 2008
First-Time Seizure in the ED July 16, 2008
Rhabdomyolysis and "False Positive" Troponin Elevation July 2, 2008
Promptly Making the Diagnosis of Retinal Detachment June 25, 2008
Cocaine-Associated MI June 18, 2008
Acute Ischemic Stroke - Supportive Measures in the ED June 11, 2008
Insulin: First-Line Therapy For Calcium-Channel Blocker Overdose June 4, 2008
Clostridium Difficile Infection May 28, 2008
Serum D-dimer and Acute Aortic Dissection May 7, 2008
Does Flumazenil Really Increase Seizure Risk? April 23, 2008
Identifying Pseudoseizures in the ED (With Accompanying Videos) April 16, 2008
Easily Excluding the Possibility of Shock from an MI April 9, 2008
Current Indications for Thrombolytic Therapy for Acute PE April 2, 2008
Hyphema? Always Consider Sickle Cell March 5, 2008
The Importance of ST Elevation in aVR February 27, 2008
The Pulmonary Embolism Rule-out Criteria (PERC Rule) February 20, 2008
Octreotide For Sulfonylurea-Induced Hypoglycemia February 6, 2008
Management of Massive Hemoptysis January 30, 2008
Current Status of Diagnosing SAH in the ED January 23, 2008
Cough and Cold Medications in Children < 2 Years December 26, 2007
Is your ED patient safe for MRI? December 19, 2007
Hyperkalemia (4 Pearls) December 12, 2007
Anticoagulation & False Negative D-dimers November 28, 2007
Bacterial Meningitis: 5 Things to Know November 7, 2007
Young Patients With Syncope October 31, 2007
Treatment of Bell's Palsy - The Latest October 24, 2007
"My Drink Was Spiked" October 17, 2007
Post-Dural Puncture Headaches October 10, 2007
Going Easy on The Diuresis for Some CHF Patients October 3, 2007
False-positive and False-negative Dipstick Urinalysis Results September 26, 2007
Nebulized Lidocaine for Cough & Asthma September 19, 2007
Therapeutic Hypothermia Following Cardiac Arrest September 12, 2007
TASER Firing - Is Cardiac Monitoring Necessary? September 5, 2007
Administer Empiric Acyclovir Therapy in the ED for Encephalitis August 29, 2007
The Deep Sulcus Sign August 22, 2007
The Oxygen Saturation Gap August 15, 2007
Diverticulitis in Young Patients July 25, 2007
Failure to Remove Patients From Backboards in the ED July 18, 2007
Serum Prolactin To Diagnose A Seizure July 4, 2007
2007 Pneumonia Guidelines - Important Changes for the EP June 27, 2007
Heterotopic Pregnancy June 20, 2007
Flumazenil? No! June 6, 2007
Wide Complex A. Fib. - Avoid the Reflexive Reach for a Ca-Channel Blocker May 16, 2007
Splenic Artery Aneurysm on CT - What Do You Tell The Patient? May 9, 2007
Important Change to CDC's STD Treatment Guidelines April 25, 2007
Proper Ventilator Settings in Severe Asthma March 28, 2007
Hypokalemia! March 14, 2007
Stable V. Tach: Amiodarone? Procainamide? Neither? March 7, 2007
Etomidate, RSI, and Adrenal Suppression February 28, 2007
Cephalosporins in the Setting of a PCN Allergy: What is the Truth? February 21, 2007
What Are the Incidences of PE & DVT after Placement of IVC Filters? February 14, 2007
Septic Arthritis or Crystal Arthritis? February 7, 2007
Epiploic Appendagitis January 31, 2007
Upper Urinary Infection - Is There Thrombocytosis? January 24, 2007
Blue Toe Syndrome January 10, 2007
Omphalitis in the Adult December 27, 2006
Hepatic Portal Venous Gas On CT Scan in the ED December 20, 2006
Atropine Prior to Succinylcholine for Pediatric RSI? November 29, 2006
Dexamethasone for Treatment of Benign Headache in the ED November 22, 2006
Ketamine for ED Pediatric Procedural Sedation: IV or IM? October 25, 2006
MRI, Stroke, and the Emergency Physician September 27, 2006
Antibiotics and Oral Contraceptive Failure September 20, 2006
CT for Appendicitis in the ED: Contrast Needed? What Route? September 6, 2006
Prophylactic Lorazepam in the ED for Alcohol-Related Seizures August 30, 2006
RV MI mimicking Anterior MI on EKG August 9, 2006
An Important Risk Factor for ED Patients Presenting With Syncope July 19, 2006
Routine ß-blockers for Acute MI? June 28, 2006
Complications of Bariatric Surgery Presenting to the ED June 7, 2006
Pulse Ox Readings In the Presence Of Dyshemoglobinemias May 31, 2006
Use of Steroids in the ED for Sepsis May 17, 2006
Abdominal Pain After Methotrexate for Ectopic Pregnancy May 10, 2006
Oral Ondansetron for Pediatric Gastroenteritis April 26, 2006
Are You Still Using Epinephrine Subcutaneously? April 19, 2006
Caution Using BNP for CHF with a History of Atrial Fibrillation April 5, 2006
COPD in the ED - When to Consider the Diagnosis of Pulmonary Embolism March 29, 2006
Flumazenil & Hepatic Encephalopathy in the ED March 22, 2006
"Pill-in-the-Pocket" Approach to SVT March 15, 2006
Complications of Percutaneous Coronary Intervention Presenting to the ED March 8, 2006
CA-MRSA: Current Treatment Recommendations February 22, 2006
Approach to the Multiply Injured Patient with Pelvic Fractures February 15, 2006
Important Change in CDC Recommendations for the Treatment of Influenza February 1, 2006
Causes of False-Positive & False-Negative End-Tidal CO2 Detector Readings January 11, 2006
Aminophylline for AV block in acute inferior MI January 4, 2006
Seafood Allergy & Radiographic Contrast Media December 28, 2005
Common medications that cause Photosensitivity (with an interesting photo) December 14, 2005
Cardiac Arrest in Pregnancy: Differential Diagnosis December 7, 2005
Major Changes to the New 2005 ACLS Guidelines November 30, 2005
Tamsulosin For Ureteral Colic November 23, 2005
NAFLD: The Most Common Cause of Abnormal LFT's, but Underrecognized in the ED November 16, 2005
Properly Adjusting the Dilantin Dose in the ED November 2, 2005
CSF tests: Appropriate Ordering & Indications October 26, 2005
Influenza, Anti-Viral Medications, and Avian Flu October 19, 2005
IVC Filters - What the Emergency Physician Needs to Know October 5, 2005
Inadvertent Ocular Exposure to Cyanoacrylate-Based Glues September 21, 2005
Elevated Troponin - Pulmonary Embolism? September 7, 2005
A Possible Cause for the Dreaded "General Weakness" August 31, 2005
A Test to Detect Chest Tube Kinking - Before Securing August 24, 2005
A Simple Empirical Guide to Antimicrobial Therapy for Acute Infectious Diarrhea August 3, 2005
6 Facts about acute Inferior MI July 27, 2005
Enoxaparin vs. Heparin for ACS & PCI July 20, 2005
Acute Stroke and Hyperglycemia July 6, 2005
Transfusion-Related Acute Lung Injury June 15, 2005
Causes of BNP Elevation in Dyspneic Patients Without CHF June 8, 2005
Is coagulopathy a contraindication to paracentesis? June 1, 2005
Nebulized Epi for Oropharyngeal Bleeding May 25, 2005
Consider Pertussis! (and listen to the audio) May 18, 2005
Troponin elevations in the absence of acute coronary syndrome May 11, 2005
Buprenorphine (Suboxone) May 4, 2005
Radiographic Studies and the Pregnant Patient April 27, 2005
Acute HIV Syndrome April 20, 2005
Shoulder Dislocation: ED Pearls April 13, 2005
Pediatric Oral Hypoglycemic Ingestion April 6, 2005
TIPS Stenosis in the ED March 2, 2005
Community-Acquired MRSA February 2, 2005
Beta Blockers in Acute MI: Current Recommendations & Contraindications January 19, 2005
Anticonvulsant Treatment Following a First-Time Seizure January 5, 2005
Use of a Pacemaker Magnet in the ED December 22, 2004
Chest Pain Relief by NTG Doesn't Predict Active CAD December 15, 2004
Facial Nerve Palsy December 1, 2004
Adie's Tonic Pupil November 17, 2004
Heparin-induced thrombocytopenia in the ED November 10, 2004
An ominous and overlooked cause of shoulder pain October 20, 2004
CXR vs. BNP for Diagnosing CHF in the ED October 13, 2004
Single-Dose PO Steroid Treatment for Croup October 6, 2004
Thrombolytic Dose for PE with Cardiac Arrest September 29, 2004
Drugs Past their Expiration Date September 15, 2004
Food Allergy Anaphylaxis: Beware the Biphasic Response August 25, 2004
Acute Chest Syndrome August 18, 2004
Methamphetamine Abuse August 11, 2004
EKG Predictors of Reperfusion July 28, 2004
Emergency Physicians & DVT July 21, 2004
Selecting an Antihypertensive Agent July 14, 2004
Drugs to Avoid in Myasthenia Gravis July 7, 2004
Blunt Aortic Injury: Conservative Management June 30, 2004
Autonomic Dysreflexia June 23, 2004
High-Risk TIA Patients June 16, 2004
Elevated Hematocrit with Acute Pancreatitis May 19, 2004
Beware of Hoarseness May 12, 2004
Use of Albumin Following Paracentesis in the ED April 21, 2004
EKG & AMI Location April 14, 2004
Adjuvant Steroid Therapy in Acute Bacterial Meningitis March 31, 2004
Preventing Contrast-Induced Nephropathy March 24, 2004
Meningococcal Disease & Risk to Contacts March 3, 2004
Using BNP Levels to Diagnose CHF February 18, 2004
Acute Whiplash Injury February 11, 2004
A Maneuver For the Difficult Airway January 21, 2004
The Brugada Syndrome December 3, 2003
Post-Traumatic Testicular Torsion: A Reminder November 26, 2003
Promptly diagnosing Ethylene Glycol poisoning November 19, 2003
Fever in Children < 36 months August 27, 2003
Acute MI: Lytics or transfer for PCTA? August 20, 2003
Current management of acute cystitis July 23, 2003
Octreotide for Refractory Hypoglycemia July 9, 2003
Prescribing Steroids from the ED for COPD July 2, 2003
Maximum doses of infiltrative anesthesia June 18, 2003
Adverse Events Following Smallpox Vaccination April 30, 2003
The management of varicella-zoster virus exposure and infection during pregnancy April 9, 2003
NSAID Exacerbation of Heart Failure April 2, 2003
Medications causing psychiatric symptoms March 19, 2003
Occupational Exposures to HIV: Current Facts March 5, 2003
Appendicitis: Clinical Pearls February 12, 2003
Venous blood to screen for CO poisoning January 8, 2003
Treatment of Community Acquired Pneumonia January 1, 2003
What to do with the TIA in the ED? December 11, 2002
Delayed Antibiotic Strategy For Acute Otitis October 16, 2002
SYNCOPE! October 2, 2002
Conditions that will cause a positive D-dimer result August 28, 2002
Emergency Contraception August 14, 2002
Do Not Hyperventilate for Traumatic Brain Injury July 17, 2002
Cardiac Troponins: Recent Pearls for EM Practice July 10, 2002
The Droperidol "Black Box" Warning June 26, 2002
Current recommendations for use of anti-D immune globulin (Rhogam) in the emergency department June 19, 2002
2002 STD Treatment Guidelines: Pearls for Emergency Physicians May 15, 2002
DKA and HHS: Current Treatment May 1, 2002
Acute Exacerbations of COPD April 10, 2002
Hyperpronation Maneuver for Nursemaid's Elbow April 3, 2002
Biphasic Defibrillation March 13, 2002
ACLS 2000 Guidelines: Corrections and Updates February 13, 2002
Succinylcholine: Clarification of Cautions and Contraindications February 6, 2002
Smoke Inhalation: Managing the Possibility of Cyanide Poisoning December 26, 2001
Lubrication of endotracheal tubes - Even when not required for lubrication alone December 19, 2001
Steroids in Acute Asthma - Do We Taper? November 28, 2001
When to transfuse in the setting of acute MI: Our practice is updated October 31, 2001
Anthrax, bioterrorism: concise reference with useful links October 24, 2001
Diagnosing acute compartment syndrome: Not relying on the 5 P's October 17, 2001
Chest pain pearls for the emergency physician: Risk Stratification October 10, 2001
Management of Aphthous Ulcers September 12, 2001
Octreotide for the treatment of acute variceal hemorrhage September 5, 2001
Overlooked Sources of Ethanol (Non-beverage Ethanol) August 22, 2001
Dextromethorphan and the Serotonin Syndrome August 8, 2001
Metformin: Unique properties of importance in emergency medicine July 25, 2001
Comprehensive Guidelines for the Management of Occupational Exposures July 11, 2001
Single dose prophylaxis for Lyme disease following tick bite June 27, 2001
Normal CK, Elevated MB - significance? June 20, 2001
A reminder: current management of acute otitis media May 23, 2001
Pediatric Syncope in the ED May 16, 2001
Initial fluid management of DKA in Children May 9, 2001
Prevention of Post-Lumbar Puncture Headache May 2, 2001
Guidelines for the appropriate use of antibiotics in respiratory infections April 25, 2001
Two ED Clues to Acute MI Patients at High Risk April 4, 2001
The Crying Infant in the ED: A Checklist to Consider March 14, 2001
A Simple and Effective Treatment for Benign Positional Vertigo February 7, 2001
Twice-Daily Penicillin Dosing for Strep Pharyngitis January 24, 2001
Ten Orthopedic Injuries That Commonly Escape Detection In The ED December 27, 2000
Management of Mushroom Poisoning December 20, 2000
Clues to the Etiology of Pediatric Otitis Media: Judicious Antibiotic Selection November 1, 2000
Significance of Gross Hematuria in the Anticoagulated Patient October 18, 2000
Preventing Side Effects During Emergency Contraception October 11, 2000
A simple test to distinguish benign mothball exposure from toxic ingestion October 4, 2000
ACLS 2000: a list of the significant changes that impact our practice immediately September 20, 2000
"Crochetage": An independent EKG sign of ASD September 13, 2000
Fluoroquinolones in Emergency Medicine Practice August 30, 2000
Important grapefruit juice interactions with commonly encountered medications August 23, 2000
Two Overlooked Sources of Pediatric Streptococcal Infection August 16, 2000
Acute Aortic Dissection: Conventional Teachings Shattered July 26, 2000
Treatment of Postdural Puncture Headache with Caffeine July 19, 2000
Serotonin Syndrome: Pearls July 12, 2000
ACE Inhibitor-Induced Angioedema: Pearls July 5, 2000
Performing an LP on patients with Hemophilia June 28, 2000
Reasons for the misdiagnosis of Subarachnoid Hemorrhage June 14, 2000
Procedures that carry the greatest risk of air embolism May 17, 2000
Flumazenil: Tricks of the trade April 19, 2000
Have a low threshold for obtaining X-rays in these patients April 12, 2000
Use of Phentolamine in the management of cocaine induced ischemic chest pain March 29, 2000
Reversal of Clonidine toxicity March 22, 2000
When are Pro-Time INR's unreliable? March 15, 2000
Nebulized albuterol for acute hyperkalemia in patients on dialysis March 8, 2000