Reviews - GW EM Blog

Blast Injuries: An Overview

Leave a Comment / Board Review, Resources, Reviews, Wilderness & Austere Environments / Kirra Paulus

Blast injuries can result from various scenarios, presenting complex mechanical trauma categorized into primary, secondary, tertiary, and quaternary types. Pediatric patients have unique vulnerabilities, and psychological impacts on victims and providers are significant. Effective trauma care must integrate mental health support while addressing specific injury mechanisms. These insights aid clinicians in managing blast incidents.

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Meckel Diverticula in Adults

Leave a Comment / Cases, Gastroenterology, Reviews / Amelia Bryan

Meckel diverticula are the most common congenital GI abnormality, affecting around 2% of the population. They can lead to complications such as rectal bleeding, ulcers, and intussusception. Imaging techniques like Techetium-99m scans and CT scans help in diagnosis. Risk factors include male sex, age over 50, and presence of heterotopic mucosa.

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What to Expect when you’re Expecting… a Patient: A guide to EMS Providers for Emergency Physicians

Leave a Comment / Prehospital & EMS, Resources, Reviews / Timothy Harmon

Emergency Medical Services (EMS) encompasses patient identification, response, treatment, and transport. There are three main provider levels: EMT, AEMT, and paramedic. Each level has distinct training, responsibilities, and capabilities, with paramedics being the most advanced. Understanding these roles is crucial for physicians to ensure effective prehospital care and communication.

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Hypothermia Recap and Resources

Resources, Reviews, Wilderness & Austere Environments / Arman Hussain

Take Home Points Michael West, one of my favorite senior residents (back when he was a PGY-4), wrote an incredible review article on the management of hypothermia with a particular focus on severe hypothermia with and without a pulse. I regularly find myself going back to this article in preparation for the Winter months, and

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Picture This: Imaging in Renal Colic

Radiology, Reviews, Ultrasound, Urology / Arman Hussain

Take Home Points Case A 20 year old male with no past medical history comes back from the waiting room in excruciating pain in his right flank travelling into his groin that started abruptly while he was at work about an hour ago. He’s never had pain like this before, and he is nauseous from

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CHILL OUT, BRO!: ED Management of Hypothermia

Reviews, Wilderness & Austere Environments / Michael West

Whether it’s someone who spent too much time bobsledding in front of the Capital (a tradition protected by the official rules of the Capital grounds!) or an undomiciled individual with severe hypothermia due to a night spent outside, unprotected in the freezing weather, GW seems to experience the full range of presentations. In this post, we’ll break this down into each stage of hypothermia and their treatments, as well as some pearls for each presentation.

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Rise of the Macrolide Resistance: Community Acquired Pneumonia Treatment Update

Infectious Disease, Respiratory/Pulm, Reviews / Jordan Feltes

The last update to the IDSA guidelines on treatment of community acquired pneumonia was more than a decade ago, and in 2019 they provided updated guidance on antibiotic regimens for the outpatient management which simplifies things and shines a light on the world of antibiotic resistance.

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Tick Talk: It’s Not All Lyme Disease

Infectious Disease, Reviews / Arman Hussain

Lyme disease makes up the majority of reported tickborne disease in the US, and although it overshadows the other tickborne diseases by a longshot, it’s important to consider the other causes of tickborne disease – but what do you really need to know?

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