Weekly Wellness

Weekly Wellness 7/10/2017

“You are enough. You are so enough. It is unbelievable how enough you are.” – Sierra Boggess July is a month of transitions. Starting as an intern, transitioning to a senior or chief, beginning your life as an attending physician, teaching a new class of residents. And no matter how many years you have been

Knowledge Bomb

Knowledge Bomb: Outcomes of New Onset Afib/Aflutter in ER Patients

We continue on with the series with Knowledge Bomb #13. The purpose and motivation for this series is outlined in the first entry and extensively in an ALiEM IDEA series blog entry. Background In the United States, we are more inclined to focus on rate control for new onset atrial fibrillation (afib) in the ER rather

Critical Care

We Have No Beds: Ventilator Series

We Have No Beds: Ventilator Series Noninvasive Ventilation Part 2 Remember our 60 yo male with COPD who has been on NIV for about an hour, he was looking a little less sick, lets check back in with him. (If you missed the last post click here) Our initial settings for the BiPAP: rate 8,

Weekly Wellness

Weekly Wellness 6/24/2017

“Everything that is past is either a learning experience to grow on, a beautiful memory to reflect on, or a motivating factor to act upon.” – Denis Waitley I apologize in advance that this Weekly Wellness is personal to me. But I as finished my last shift at Mercy Hospital this week, knowing that after

EM/IM Sessions

EM/IM Sessions: ED Management of Febrile Neutropenia

ED Management of Patients with Febrile Neutropenia: Guideline Concordant or Overly Aggressive? Baugh CW, Wang TJ, Caterino JM, et al.  Academic Emergency Medicine. 2017;24(1):83-91 [paper] Why I chose this article? It’s always interesting to find something that is practice changing, reasonable, and not commonly done. This fits the bill. I was always taught to admit febrile

Knowledge Bomb

Knowledge Bomb! ‘Step-by-Step’ Approach to Treating Febrile Infants

We continue on with the series with Knowledge Bomb #12. The purpose and motivation for this series is outlined in the first entry and extensively in an ALiEM IDEA series blog entry. Background Infants less than 3 months old presenting to the ED with a fever can be a true emergency, as this patient population is