Standing on the corner, minding my own business in the ER

SOCMOB joins REBELEM

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Hi all, I’m excited to report that I’ve joined the group over at REBELEM.com (Rezaie’s Evidence Based Evaluation of Literature in Emergency Medicine) and my first post on the use of Colchicine for treatment of pericarditis is now up. For those of you who don’t follow REBEL:EM, what are you waiting for?  With Salim Rezaie […]

Novel therapies for Anterior Epistaxis (Calgary EM Journal Club)

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Epistaxis can be managed in many ways, from a simple squeeze of the nose to stuffing it with a tampon, and everything in between.  Today we’ll look at two novel methods of managing anterior epistaxis, one of which has become my go to for the moderate, non-anticoagulated bleeder.  Both of these techniques obviate the need […]

Calgary EM Journal Club: Therapeutic Hypothermia – Targeted Temperature Management Trial

In the January 2014 instalment of the journal club, the Calgary EM program reviewed the recent practice changing paper on cooling (AKA therapeutic hypothermia) after out of hospital cardiac arrest.  For more discussion of this paper, you can check out TheSGEM Episode 54 and this EMCrit Podcast and EMCrit Wee with Jon Rittenberger. Read on for our […]

Hyperkalemia myths from EMLyceum

Hi all, Short post today, as I just want to acknowledge the great work of another blog over at EMLyceum. The myths of hyperkalemia management are many.  While I have discussed the uselessness of kayexalate in my introductory post, I was thinking about discussing ECG changes and the “textbook progression” so often cited with peaked […]

Evidence Based Management of Acute Heart Failure: Forget LMNOP, think POND!

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Case: Imagine you are an attending ED physician supervising a learner. A 72 year old female presents to the ED with cough and shortness of breath worsening over a week.  She has a history of Afib, previous MI, diabetes and dyslipidemia.  She has recently been non-compliant with her meds and has been taking some ketorolac […]

NSAIDs Part 3: Gastrointestinal Side Effects and Toxicity

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In part 1 of our discussion on NSAIDs, we discussed the equal efficacy of various NSAIDs, while in part 2, we looked at the concept of an analgesic ceiling effect when using NSAIDs. Congrats to all of those who identified the ceiling in part 2 as the Chihuly work at the Bellagio in Las Vegas.  […]

NSAIDs part 2: The Ceiling Effect

Sorry readers.  I’ve been slacking off on vacation in NYC, eating too much and blogging about food more than medicine.  Tonight at dinner with Mr. EMCrit, Scott called me out a bit for insufficient content.  Also, one of my readers has some rounds coming up soon, and needs to talk NSAIDs.  With that in mind, […]

NSAIDs Part 1: Which one is best?

–> I love NSAIDs!  Yup, love ‘em! NSAIDs (Non-steroidal anti-inflammatory drugs) are some of the best analgesics available, plus they’re generally over the counter.  Despite their daily use for decades, NSAIDs remain sorely misunderstood.  I know they’re not a panacea, and they have some serious side effects in certain populations.   But for healthy patients without […]

Drinking the PPI Hate-O-Rade

Hi all, sorry about the extended hiatus.  I was away after Christmas for about 12 days and have been getting back in the swing of things over the past week.  Since the break, one great new blog that has popped up on the FOAMed landscape is the boringem blog, started by Brent Thoma, one of […]

Evidence Based Laceration Repair

First, a huge thanks to everyone who has been visiting the site, tweeting and spreading the #FOAMed love.  FOAM is all about word of mouth, and having others spread the word drives me to put up more posts.  Second, if you have comments or suggestions to improve the blog, questions for me, or myths you’d […]