How to unlock 40% more LLSA options
January 29, 2020


Posted by Andy Jagoda, MD in: Feature Update , add a comment

You just finished a rewarding but intensely grueling day.

Caseloads were high, patients were demanding, and time to JUST BREATHE was scarce.

You give your inbox a quick glance before going home to get some sleep so you can do it all again tomorrow, and one email yells for your attention: “REMINDER! LLSA requirement for your ABEM certification.” Yikes. Just what you need… one more thing on your plate. You buckle down to fork out $$ and precious time to meet your ABEM certification requirement. read more

Test Your Knowledge: Managing Dislocations of the Hip, Knee, and Ankle in the ED
January 9, 2020


Posted by Andy Jagoda, MD in: Brain Tease , add a comment

Dislocation of the major joints of the lower extremities–hip, knee, and ankle–can occur due to motor-vehicle crashes, falls, and sports injuries. These are painful presentations in the trauma ED that must be managed quickly to avoid morbidity, disability, and even possible amputation. read more

Right for the Season: Clinical Flowchart for Management of Burns in the Emergency Department
November 7, 2019


Posted by Andy Jagoda, MD in: Feature Update , add a comment

Holidays are busy times for everyone, including emergency departments. Maybe it’s the rushing around during preparation or too many people in the kitchen, but inevitably someone gets hurt and burns are among the top injuries seen in the ED during the Thanksgiving holidays. read more

Right for Halloween: Clinical Algorithm for Pediatric Patients with Multiple Injuries
October 10, 2019


Posted by Andy Jagoda, MD in: Feature Update , add a comment

When children with multiple serious injuries present to the ED, how do you ensure that you identify and address all of their injuries?

Management of the child with multiple traumatic injuries can be challenging, and important injuries may not be readily recognized. Early recognition of serious injuries, initiation of appropriate diagnostic studies, and rapid stabilization of injuries are key to decreasing morbidity and mortality in the multiply injured pediatric trauma patient. The differential diagnosis for these patients is wide, and treatment is targeted to the specific injuries. read more

Concussion Aftercare Guidelines for the ED
October 10, 2019


Posted by Andy Jagoda, MD in: Feature Update , add a comment

One important aspect of concussion management for the emergency clinician is the provision of adequate aftercare instructions at the time of discharge from the ED. This requires a paradigm shift for the emergency clinician, as discharging a head-injured patient was primarily focused on providing precautions for potential deterioration. read more

Brain Teaser: Signs of pneumothorax when seen on thoracic ultrasound
September 13, 2019


Posted by Andy Jagoda, MD in: Brain Tease , add a comment

The pediatric patient is arguably more suited for emergency ultrasound than the adult patient. Children generally have a smaller body habitus than adults and, therefore, less tissue for the ultrasound beams to penetrate. This often leads to clearer images of the different organ systems, which should yield better diagnostic accuracy. read more

Test Your Knowledge: Concussion in the ED
September 10, 2019


Posted by Andy Jagoda, MD in: Brain Tease , add a comment

An increasing number of patients with concussive injuries are presenting to the ED, due to a combination of factors, including media attention to sport-related concussion, early dedication to competitive sport, and improved screening and diagnostic tools for concussion. read more

Ultrasound Assessment for Skull Fractures
August 15, 2019


Posted by Andy Jagoda, MD in: Feature Update , add a comment

The use of ultrasound at the point of care by emergency clinicians, as well as by other specialists, has become increasingly common over the last 25 years. Emergency POCUS can be used as a diagnostic test and also to visualize anatomy for procedural guidance. It allows the emergency clinician to rapidly rule in or rule out disease processes and guide ongoing investigation and management of patients in the ED. read more

May is Trauma Awareness Month!
May 16, 2019


Posted by Andy Jagoda, MD in: Feature Update , add a comment

Clinical Pathway For Management In The Emergency Department Of Pediatric Patients With Suspected Cervical Spinal Cord Injury

Spinal injuries from blunt trauma are uncommon in pediatric patients, representing only about 1.5% of all blunt trauma patients. However, the potentially fatal consequences of spinal injuries make them of great concern to emergency clinicians. read more

It is Stroke Awareness Month!
May 16, 2019


Posted by Andy Jagoda, MD in: Feature Update , add a comment

10 Risk Management Pitfalls For Cervical Artery Dissections

Cervical artery dissections involve the carotid or vertebral arteries. Although the overall incidence is low, they remain a common cause of stroke in children, young adults, and trauma patients. Symptoms such as headache, neck pain, and dizziness are commonly seen in the emergency department, but may not be apparent in the obtunded trauma patient. A missed diagnosis of cervical artery dissection can result in devastating neurological sequelae, so emergency clinicians must act quickly to recognize this event and begin treatment as soon as possible while neurological consultation is obtained. read more