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Kishan Ughreja , MD (NUEM ‘23) Ade Akhentuamhen, MD (NUEM ‘21) Journal Club: Ultrasonography versus Computed Tomography for Suspected Nephrolithiasis A 70-year-old man with BPH s/p TURP, hypertension, hyperlipidemia and stroke presents to the ED with acute onset of intermittent sharp left flank pain radiating into the groin that awoke him from sleep. He endorses nausea without vomiting and denies fever. He also endorses slightly decreased urination with “dribbling.” His urinalysis shows >100 RBC and no signs of infection. Nephrolithiasis is likely high on your differential diagnosis. How do ..read more

Adam Payne, MD (NUEM ‘24) Emily Wessling, MD (NUEM ‘22) : Justin Seltzer, MD (NUEM ‘21) Congratulations to Drs. Payne and Wessling on an excellent post.  Management of toxic gas exposure from a house fire is essential knowledge for all emergency physicians. The two major toxic gases of interest are carbon monoxide and hydrogen cyanide; it is important to note that fires in other environments, such as factories or industrial sites, may result in alternative exposures based on the nature of the fire and materials present. The post goes into detail on the pathophysiology, signs, symptoms, an ..read more

Patrick King, MD (NUEM ‘23) Adesuwa Akehtuamhen, MD (NUEM ‘21) : Matt McCauley, MD (NUEM ‘21) Thank you for this succinct summary of an incredibly important topic. We as emergency physicians spend a lot of time thinking about peri-intubation physiology but the challenges do not end once the plastic is through the cords. The frequency with which our ventilated patients stay with us in the ED has been increasing for years and will likely continue to do so . This means that managing both acute decompensation and refractory hypoxemia needs to be in our wheelhouse.  The crashing patient on the ..read more

Posted on December 27, 2021 The runaway favorite of this year was Dr. David Feiger’s (NUEM ’22) and Dr. Jon Andereck’s (NUEM ’19) post reviewed by Dr. Kaustubha Patel of Northwestern's Bluhm Cardiovascular Institute about the “pill-in-the-pocket” approach to treating atrial fibrillation.  Take-Home Point: In select patients, the “pill-in-the-pocket” approach is a safe and effective way to treat infrequent but symptomatic paroxysmal atrial fibrillation that reduces ED visits and improves patients’ quality of life.  Peripheral Vasopressors: Do I need that central line? In the second mo ..read more

Savannah Vogel, MD (NUEM ‘24) Logan Wedel, MD (NUEM ‘22) “Discussing Goals of Care.” UpToDate, www.uptodate.com/contents/discussing-goals-of-care Ganta, Niharika, et al. “SUPER: A New Framework for Goals of Care Conversation.” SGIM Forum, vol. 40, no. 3, 2017. “Transitions/Goals of Care.” VitalTalk, 9 May 2019, www.vitaltalk.org/guides/transitionsgoals-of-care This is a nice review of the steps of what can be a very difficult conversation from Drs. Vogel and Wedel; I encourage emergency providers (especially residents) to run towards these situations aggressively and not expect other doctors t ..read more