Congenital Cardiac Disease in the ED

Let’s start off with a case: 29 year old male, HR: 140, BP: 70/40, Temperature of 39.1. Sounds like straight forward, bread-and-butter emergency medicine doesn’t it? That is, until you look at the past medical history: Single Ventricle Hypoplastic RV Left AV Valve Atresia Large Ventricular Septal Defect Patent Formal Ovale Transposition of the Great Arteries Fontan Procedure Ugh. Terrified […]

Flow Hacks for the Emergency Physician

One of the questions I am asked most frequently by learners is how they may improve and optimize their flow of patients in the Emergency Department (ED). I found through my education that this was not something implicitly taught, but absorbed by watching more senior staff work in the ED. Many things have been previously described and studied, such as […]

Burn Management in the ED

The vast majority of burns that present to the ED can be managed as outpatients1,2, usually by the patient’s family doctor, but many emergency physicians do not feel comfortable with burn management. Burn management often follows the preferences and experiences of plastic surgeons, so the overarching caveat for everything below is that you should check with your local plastic surgery […]

Creatine Kinase: Antiquated Relic or useful adjunct in Diagnosing Acute Coronary Syndrome?

Chest pain is a common presenting complaint to Emergency Departments (ED) worldwide. Massive resource investment is required to differentiate benign from sinister causes of chest pain, and for the treatment, referral, and risk stratification of chest pain patients.  A cardiac etiology of chest pain is found in roughly 15% of those presenting to EDs. Emergency Physicians use a combination of […]