Category Archives: Uncategorized

Upper GI Bleeding, Questions

1. Do you use a proton pump inhibitor (PPI) infusion in patients with undifferentiated upper GI bleeding (UGIB)? 2. Do you use octreotide in patients with bleeding varices? 3. In which patients with UGIB do you place a nasogastric tube … Continue reading

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Abscess, “Answers”

1.) Do you routinely pack abscesses after I & D? If so, what is your endpoint (i.e., when do you stop re-packing, and when do you stop ED follow-up)? Incision and drainage remains the cornerstone of therapy for simple cutaneous … Continue reading

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Abscess, Questions

1.) Do you routinely pack abscesses after incision and drainage (I & D)? If so, what is your endpoint (i.e. when do you stop re-packing, and when do you stop ED follow-up)? 2.)  Do you ever use primary closure after … Continue reading

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Intracranial Hemorrhage, “Answers”

1. What immediate steps in management do you take when a patient with intracranial hemorrhage (ICH) exhibits signs of elevated intracranial pressure (ICP)? The immediate steps in the management of intracranial hypertension (ICP >20 mmHg for 5 minutes) in the … Continue reading

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Intracranial Hemorrhage, Questions

1. What immediate steps in management do you take when a patient with intracranial hemorrhage (ICH) exhibits signs of elevated intracranial pressure (ICP)? 2. In which patients with ICH do you push for invasive neurosurgical intervention? 3. What interventions do … Continue reading

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Medication Comparisons, “Answers”

  Check out our own Dr. Anand Swaminathan discussing this topic and more on ER Cast here! 1. Acetaminophen vs Ibuprofen. Which do you prefer for analgesia? For fever reduction? Pain and fever are among the most common chief complaints … Continue reading

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Medicaton Comparisons, Questions

1. Acetaminophen vs. ibuprofen: Which do you prefer for analgesia? For fever reduction? 2. PPIs vs. H2 Blockers: Which is your first choice for GERD/gastritis? 3. Meclizine vs. benzodiazepenes: Which do you prescribe for vertigo? 4. Calcium channel blockers vs. … Continue reading

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Epistaxis, “Answers”

 1. How do you differentiate an anterior from a posterior nosebleed? Whether you’re sitting high in the bleachers of a baseball game or treating a patient in the Emergency Department, nosebleeds can be an extremely frustrating, common, and sometimes even life-threatening … Continue reading

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Epistaxis, Questions

1. How do you differentiate an anterior from a posterior nosebleed? 2. What type of nasal packing do you prefer if direct pressure and silver nitrate cautery fail? Guaze ribbons? Nasal foam tampons (i.e., Merocel, Rhino Rocket)? Nasal balloon tampons … Continue reading

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tPA in ischemic stroke, “answers”

  Check out our own Dr. Anand Swaminathan discussing this topic and more on ischemic stroke on ER Cast here and here! 1. How do you control blood pressure (BP) in patients who will be or/are receiving tPA? For patients … Continue reading

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