Month: July 2017

GI Bleed

One of the most dangerous complaints in all of Emergency Medicine is the GI Bleed. Especially upper GI bleeds when patients are complaining of coffee ground emesis or black sticky poop. This week we will discuss the overall approach to anybody who comes in with a GI bleed.

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Ziebell CM, Kitlowski A, Welch JM, Friesen PA. Upper Gastrointestinal Bleeding. In: Tintinalli JE, Stapczynski J, Ma O, Yealy DM, Meckler GD, Cline DM. eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e New York, NY: McGraw-Hill; 2016.

Lo BM. Lower Gastrointestinal Bleeding. In: Tintinalli JE, Stapczynski J, Ma O, Yealy Yealy DM, Meckler GD, Cline DM. eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e New York, NY: McGraw-Hill; 2016. http://accessemergencymedicine.mhmedical.com/content.aspx?bookid=1658&sectionid=109430249. Accessed July 13, 2017.

 

Blood

Type and Screen? Type and Rh? Type and Cross? Emergency Release? I never received a talk in medical school about how to give blood to patients. So when I started residency, I was surprised and confused by how many options I could select when placing orders for blood! This episode covers the basic terminology you need to know so that you can sound smart on your clerkship.

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Scott Weingart. EMCrit 202 – Blood Bank Essentials with Joe Chaffin. EMCrit Blog. Published on June 25, 2017. Accessed on July 6th 2017. Available at [https://emcrit.org/emcrit/blood-bank-essentials

Pulmonary Embolism (Critical Diagnosis)

This week we are having the talk… The PE talk. It will be one of the most high yield episodes we will ever have on the show. Before listening, please look up the Well’s Score and the PERC rule for reference, and email me with any questions.

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Kline, J. A., & Kabrhel, C. (2017). Emergency Evaluation for Pulmonary Embolism, Part 2: Diagnostic Approach. Journal of Emergency Medicine, 49(1), 104–117. https://doi.org/10.1016/j.jemermed.2014.12.041