Very detail and informative article regarding Low Back Pain. I believe this article should be read by patients and physicians, and physicians can summarize this for their patients. This is not new but still covers EBM by NEJM.
-
Low Back Pain
May 17, 2012 by Pourmand
Category PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
New Concepts in the Assessment of Syncope
May 16, 2012 by Pourmand
There is a State-of-the-Art Paper in the latest edition of Journal of the American College of Cardiology, May 2012.The title of article is New Concepts in the Assessment of Syncope. The authors perspective was based on the presence of a syncope specialist (“the right physician”), adequate equipment including online prompting tools and logistics (“the right place”), and optimal organization (“the right time”), as exemplified in a syncope facility, have been shown to improve at least short-term outcomes.
Category Cardiology, PGY3, PGY4 | Tags: | Comments Off
-
What is the role of Morphine in Flash Pulmonary Edema?
May 11, 2012 by Pourmand
We always taught that Morphine can decrease preload and can help with anxiety and pain in acute flash pulmonary edema. But evidence does not support this Claim. (more…)
Category Cardiology, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
Standards of Medical Care in Diabetes: 2012
April 15, 2012 by Pourmand
This is the Standards of Medical Care in Diabetes: 2012 by American Diabetes Association (ADA). There are a lots of useful information can help for new criteria for diabetes and so on.
Category Diabetes, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
Comparison of arterial blood gas vs. venous blood gas
April 15, 2012 by Pourmand
This is another article regarding comparison of VBG vs ABG. “Comparison of arterial and venous pH, bicarbonate, PCO2 and PO2 in initial emergency department assessment”. The other one was in critically ill patient but this one is among patient with diverse medical conditions. (more…)
Category Diabetes, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
Prehospital Epinephrine Use and SurvivalAmong Patients With Out-of-Hospital Cardiac Arrest
April 6, 2012 by Pourmand
In October 2011, I reviewed an interesting article in Resuscitation, September 2011 regarding use of Epinephrine in per-hospital setting, ,now we have another study published in JAMA, March 2012. (more…)
Category Cardiac arrest, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
Pan-Scan for detection of injuries in patients with major blunt trauma
March 19, 2012 by Pourmand
We usually make fun of this topic such as how about have a ct scan in triage and etc.. This is a European study that shows the pan-scan algorithms reduce, but do not eliminate, the risk of missed injuries, and they should not replace close monitoring and clinical follow-up of patients with major trauma.
Category PGY1, PGY2, PGY3, PGY4, Trauma | Tags: | Comments Off
-
Clindamycin or Bactrim for pediatric skin and soft-tissue infections
March 5, 2012 by Pourmand
This is a retrospective cohort study between 2004-2007 among patients who received a treatment with clindamycin, trimethoprim-sulfamethoxazole, or a β-lactam for their skin and soft-tissue infections. (more…)
Category Pediatrics, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
Guidelines for the Assessment and Management of Anaphylaxis
March 1, 2012 by Pourmand
I am teaching this topic to medical students, interns, and residents every month and I found this valuable guideline by World Allergy Organization. (more…)
Category Anaphylaxis, PGY1, PGY2, PGY3, PGY4 | Tags: | Comments Off
-
Intramuscular versus Intravenous Therapy for Prehospital Status Epilepticus
March 1, 2012 by Pourmand
This study is interesting because Maryland EMS has a protocol to give Midazolam IM in prehospital setting. The New England journal published on Feb,16, 2012 a double-blind, randomized study comparing IM Midazolam versus IV Lorazepam for children and adults in status epilepticus. (more…)
Category PGY1, PGY2, PGY3, PGY4, Seizure | Tags: | Comments Off
-
Bleeding in patients using new anticoagulants or antiplatelet agents: risk factors and management
February 20, 2012 by Pourmand
This is a link to an article form Netherlands, on management of bleeding in patients who just started on different antiplatelet agents. (more…)
Category PGY1, PGY2, VTE | Tags: | Comments Off
-
Normalization of Vital Signs Does Not Reduce the Probability of Acute Pulmonary Embolism
February 19, 2012 by Pourmand
Jeffry Kline is famous for his research on PE and his latest article in Academic Journal of Emergency Medicine(Jan 2012) is opening another window to PE regarding Normalization of Vital Signs Does Not Reduce the Probability of Acute Pulmonary Embolismin Symptomatic Emergency Department Patients.
Category PGY1, PGY2, PGY3, PGY4, Pulmonary, VTE | Tags: | No Comments
-
Focused Cardiac Ultrasound in the Emergent Setting
February 5, 2012 by Pourmand
American Society of Echocardiography (ASE) and the American College of Emergency Physicians (ACEP) described the important role of focused cardiac ultrasound (FOCUS) in patient (more…)
Category Cardiology, Ultrasound | Tags: | No Comments
-
Hyperglycemia in Hospitalized Patients, An Endocrine Society Clinical Practice Guideline
January 23, 2012 by Pourmand
The Journal of Clinical Endocrinology & Metabolism published a practice guideline in Jan.2012. Focus of this guideline is management of hyperglycemia in (more…)
Category Diabetes, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Seizure? Look for PE!!!
January 14, 2012 by Pourmand
This is a link to acep news for a presentation in American Epilepsy Society, 1% of patients diagnosed with pulmonary embolism during a 5-year retrospective study had PE
http://www.acepnews.com/single-view/0addee7cac26f722aa1b28c431b5718f.html?tx_ttnews[tt_news]=945
Category VTE | Tags: | No Comments
-
Effective Antibiotic Treatment Prescribed by Emergency Physicians in Severe Sepsis or Septic Shock
January 14, 2012 by Pourmand
Journal of Emergency Medicine published an article with title of “Effective Antibiotic Treatment Prescribed by Emergency Physicians in Patients Admitted to the Intensive Care Unit With Severe Sepsis or Septic Shock” in Dec,2011. (more…)
Category PGY1, PGY2, PGY3, PGY4, Sepsis | Tags: | No Comments
-
Cardiac arrest and prognosis
December 22, 2011 by Pourmand
This is one of the challenging topics in EM. when should you stop CPR? what parameters do you have to continue versus terminate CPR? (more…)
Category Cardiology, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Cervical Spine MRI in Alert, Neurologically Intact Trauma Patients
December 16, 2011 by Pourmand
Probably you had this dilemma before. Patient involved MVC with midline neck tenderness and negative CT scan. Now, what should I do? Should I clear and remove c-collar or consult with trauma. There are 2 approaches that trauma surgeons usually do. 1:MRI and/or 2: Flex-ex xray. (more…)
Category PGY1, PGY2, PGY3, PGY4, Trauma | Tags: | No Comments
-
Prediction of Pneumonia in a Pediatric Emergency Department
December 14, 2011 by Pourmand
I thought I posted this before but I did not, Pediatrcis 2011, prospective cohort study with 2574 patients under 21 years old. Interestingly, 16 % of patients had radiographic pneumonia. (more…)
Category Infectious Disease, Pediatrics, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Diagnosis and Therapy of Massive PE
December 4, 2011 by Pourmand
Category Multimedia, PGY2, PGY3, PGY4, VTE | Tags: | No Comments
-
Emergency Hospitalizations for Adverse Drug Events
December 4, 2011 by Pourmand
To estimate the frequency and rates of hospitalization after emergency department visits for adverse drug events in older adults between 2007-2009. (more…)
Category General EM, PGY3, PGY4 | Tags: | No Comments
-
New LBBB and STEMI
November 28, 2011 by Pourmand
There are lots of questions raised recently regarding activation of cath. lab in the setting of new LBBB or presumed new LBBB. It is really challenging when you have a patient with chest pain and there is no old EKG to compare findings of LBBB. (more…)
Category Cardiology | Tags: | No Comments
-
Actual or the corrected serum sodium in DKA!
November 22, 2011 by Pourmand
The anion gap is representative of positive versus negative charges. when we are calculating anion gap, we are calculating a balance between positive and negative charges. correcting (more…)
Category Diabetes, PGY1, PGY2, PGY3 | Tags: | No Comments
-
MRSA Therapy! New Guideline
November 16, 2011 by Pourmand
IDSA (Infectious Diseases Society of America) published a new guideline this year for treatment of soft tissue infections and MRSA. (more…)
Category Infectious Disease, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Kocher Criteria
November 13, 2011 by Pourmand
Kocher Criteria is the best way to diagnose septic arthritis in children (more…)
Category Pediatrics, PGY1, PGY2 | Tags: | No Comments
-
Lumbar Puncture in febrile infant
November 13, 2011 by Pourmand
Is a lumbar puncture necessary when evaluating febrile infants (30 to 90 days of age) with an abnormal urinalysis?
There is a new study in Peds Emergency care which it describes a retrospective study among infants 1 month to 3 months old (more…)Category Pediatrics, PGY1, PGY2 | Tags: | No Comments
-
bedside Ultrasound and cardiac mass
November 11, 2011 by Pourmand
This is my case report with Keith Boniface on cardiac angio-sarcoma:
Incidental Identification of Right Atrial Mass Using Bedside Ultrasound: Cardiac Angiosarcoma
Category Ultrasound | Tags: | No Comments
-
CO Poisoning
November 5, 2011 by Pourmand
I had a patient with Carbon Monoxide poisoning. Patient had mental status changes and was unresponsive.We transferred patient to a hyperbaric center and this is the review that I did with my resident and student for Carbon Monoxide poisoning, mainly from Tintinalli’s: (more…)
Category PGY1, PGY2, PGY3, PGY4, Toxicology | Tags: | No Comments
-
Children at very low risk of TBI per PEACRN
November 1, 2011 by Pourmand
Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. The goal of study was to identify children at very low risk of clinically-important traumatic brain injuries (ciTBI) for whom CT might be unnecessary. (more…)
Category Pediatrics, PGY3, PGY4, Uncategorized | Tags: | No Comments
-
Pediatric UTI; Practice guideline from AAP
October 31, 2011 by Pourmand
Recently, AAP published a practice guideline on “Urinary Tract Infection: Clinical Practice Guideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children (more…)
Category Pediatrics, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Are arterial and venous samples clinically equivalent….
October 27, 2011 by Pourmand
Are arterial and venous samples clinically equivalent for the estimation of pH, serum bicarbonate and potassium concentration in critically ill patients?
another study on VBG vs ABG, I am sure in ED we almost agreed that a lot of ABG could be replaced by VBG but still among our consultant, this is not as clear as for us. this study (more…)Category Diabetes, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Effect of adrenaline on survival in out-of-hospital cardiac arrest
October 22, 2011 by Pourmand
This is a very interesting study regarding usage of epinephrine in out of hospital setting. This is probably the first control trial in human post cardiac arrest. The study is about (more…)
Category Cardiac arrest, PGY3, PGY4 | Tags: | No Comments
-
Volume Status in Septic Shock
October 22, 2011 by Pourmand
How do we measure the fluid status in a patient with shock? This usually measures with CVP or Ultrasound. CVP measurement is possible when we have a central line(subclavian or intra-jugular). Ultrasound brought a quick assessment of volume status or fluid (more…)
Category PGY3, PGY4, Sepsis | Tags: | No Comments
-
Top Ten Mistakes in Residency
October 21, 2011 by admin
Top Ten Mistakes in Residency
by: Peter DeblieuxCategory Audio, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Diagnostic Accuracy of VBG in DKA
October 19, 2011 by Pourmand
We all know that VBG can be replaced with ABG for a lot of reasons, but our consulatants are still asking for ABG in DKA, COPD, Asthma and etc. I will post some data that show VBG is as good as ABG unless you have a patient under vent.
Diagnostic Accuracy of Venous Blood Gas Electrolytes for Identifying Diabetic Ketoacidosis in the Emergency Department.Category Diabetes, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
SURVIVING SEPSIS CAMPAIGN GUIDELINES
October 11, 2011 by Pourmand
Category PGY1, PGY2, Sepsis | Tags: | No Comments
-
Top Ten Documentation Mistakes
October 11, 2011 by Pourmand
ACEP’s Video presentation of Dr. Greg Henry and Dr. Gillian Schmitz discussing the top ten documentation mistakes.
Category Multimedia, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
EKG interpretation Recognizing STEMI
October 10, 2011 by Pourmand
Category Multimedia, PGY1, PGY2 | Tags: | No Comments
-
Emergency Medicine Past and Future
October 10, 2011 by Pourmand
Emergency-Medicine-Past-and-Future
by: Peter RosenCategory Audio, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Fast Track
October 10, 2011 by Pourmand
How to do Lung Ultrasound to rule out Pneumothorax!
1. Select your probe:
Linear probe, or vascular probe with low penetration and high frequency.
(more…)Category PGY3, PGY4, Ultrasound | Tags: | No Comments
-
Lung ultrasound in critically ill patients
October 6, 2011 by Pourmand
Lung ultrasound in critically ill patients: Comparison with bedside chest radiography. This study was done in Greece and their finding is in general ICU population lung ultrasound (more…)
Category PGY4, Ultrasound | Tags: | No Comments
-
Anaphylaxis and Angioedema
October 6, 2011 by Pourmand
Category Multimedia, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Which Anti-emetic for Undifferentiated Vomiting
October 6, 2011 by Pourmand
Which Anti-emetic for Undifferentiated Vomiting
By: Ingrid LimCategory Audio, PGY1, PGY2, PGY3, PGY4 | Tags: | No Comments
-
Welcome to Emergency Medicine Education
October 4, 2011 by admin
Welcome to Emergency Medicine Education(EME). This is my first post. Finally, after a long way, I created something under my name. I hope you enjoy visiting this website and I(we) can give some Evidence Based Medicine (EBM) through this site. Ali
Category Uncategorized | Tags: | No Comments
