Patients present with headaches frequently, but they do not all need imaging.  However, the question becomes who does need the imaging?  The American College of Radiology updated their guidelines from the ones previously made in 2014 and we provide a rapid review in this post.

One of the most commonly feared diagnoses to miss in medicine is the ruptured aortic aneurysm or aortic dissection.  Despite classic teachings, the presentation of most patients is not textbook.  While there are many studies trying to find ways to help with the evaluation, they have been limited in success.  However, what if you add ultrasound?  We discuss some new evidence in this post.

Patrick Bafuma is back for the second part of his EM ID interview with Dr. Valerie Vaughn.  She is internal medicine trained and a hospitalist with a special interest in infectious disease.  Go back to Podcast #182 to hear her discussion with nudges as it comes back to play in this post.

Tibial plateau fractures can be easily missed, especially to the untrained eye.  Missing these important fractures can have devastating outcomes.  In this post we will talk about how to identify and manage these fractures.

Point of care ultrasound (POCUS) can range in complexity from very basic exams to those that are expert level in nature.  While some basic wall motion abnormalities are taught in many introductory classes, the concept of regional wall motion abnormalities (RWMA) for myocardial infarctions (MIs) can be a little more complicated and as a result is often not taught to novice learners of POCUS.  Some have questioned the validity of the results, as well.  In this post, we will cover some highlights including recent evidence that may further support the potential role of RWMA in MIs.

Patrick Bafuma is back to provide another EM ID special, this time with Dr. Valerie Vaughn.  She is internal medicine trained and a hospitalist with a special interest in infectious disease.  The concept of asymptomatic bacteriuria has been discussed before with with Podcast #158, but this time Dr. Vaughn introduces the idea of nudges and how it can help use reduce our antibiotic use.

Both rashes and fevers are very common complaints in the emergency department.  However, the challenge becomes very real distinguishing the serious to the more benign.  Fortunately, EB Medicine has once again come to help make this challenging topic a little easier to understand.  We review some of the highlights from their article in this post.

Another year is in the books.  We appreciate you reading the blog and listening to the podcast.  This post is devoted to wrapping up the year.

Happy Holidays and if you are listening to this when it is published, Merry Christmas.  Last year for Podcast #127, on Christmas Day we reviewed the importance of family, friends, and colleagues.  This year we wanted to discuss the importance of kindness.

We love EB Medicine specials and we hope you do, too!  This time we are talking about a subject that many forget about: pediatric stroke.  While it is far less common than what we see in the adult population, it carries a high morbidity and mortality rate.  In November, EB Medicine went into detail about this particular topic and we think it was a fantastic review.  Let's get started!