31 year old female presents to the emergency department at 34 weeks pregnant with complaints of a headache. Upon examination the patient also notes she’s having blurred vision and is found to have a blood pressure of 150/90. The first differential on every emergency physician’s mind should be pre-eclampsia, but with this in mind, what …
Continue reading Everything you need to know about Pre-Eclampsia
Antacid monotherapy is more effective in relieving epigastric pain than in combination with lidocaine. A randomized double-blind clinical trial. What is already known about this topic?i. There have been studies in the past which failed to show conclusive evidence that the addition of lidocaine to a “cocktail” was more effective at relieving symptoms associated with …
Continue reading Lidocaine’s (lack of) role in Epigastric Pain
I’ve fallen in love with a particular technique for shoulder reduction that allows the patient to self reduce. This minimizes pain experienced during the procedure as well as avoids the need for conscious sedation. I call it the modified Boss-Holzach-Matter maneuver, or the Boss Stokes maneuver (because I couldn’t think of anything witty to do with …
In the ED we are often concerned about the pH, CO2 level, and oxygen saturation of patients. How does one determine whether to get a venous blood gas (VBG) or arterial blood gas (ABG)? ABGs are typically seen as the “gold standard” for evaluating pH, PaCO2, and HCO3 but in certain situations VBGs are a …
AOMC FOAMed 
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