EM Basic Essential Evidence- Admission for patients with minor head injury on coumadin- Annals of EM

09/03/12 • -1 min

In this episode, we'll talk about a recent article in Annals of Emergency Medicine that has a lot of people talking. This is a study that looked at patients on coumadin (warfarin) who had minor head injuries. The patients were admitted for 24 hours of observation and had a repeat head CT. The study looked at how many patients had bleeding on a repeat head CT and the conclusions were suprising. Should this be our new standard of care? Maybe but maybe not.

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Hyperkalemia

Hyperkalemia (high serum potassium) can be one of the most serious electrolyte disorders that we treat in the ED. We'll review how to interpret hyperkalemia in light of the patient's clinical condition, how to rapidly evaluate a patient with hyperkalemia and how to quickly treat patients with severe hyperkalemia.

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Testicular Pain

All right- let's keep the laughter to a minimum...today's episode is talking about how to approach testicular pain in the ED. You need to know how to approach this chief complaint because if you don't workup the patient correctly, they can lose their future fertility and possibly their testicle. We'll review how to take a good history and do a rapid focused exam to make sure that we catch all those patients with torsion and don't delay their treatment.