Emergency Medicine
- Foxglove, not quite gone or forgotten
Digoxin use has waned dramatically over the past decades, with good reason, but for select patients, it may be a very reasonable option.
- Digoxin is still useful, but is still causing toxicity
The authors review the presentation of digoxin toxicity, its mechanisms and predisposing factors, and its medical management.
- Should you use compression duplex ultrasonography to detect deep vein thrombosis to evaluate unexplained fevers?
The authors provide recommendations on when to order imaging of the extremities in the evaluation of hospitalized patients with unexplained fever.
- Evaluating troponin elevation in patients with chronic kidney disease and suspected acute coronary syndrome
The authors examine challenges in diagnosing acute coronary syndrome in patients with chronic kidney disease and provide a diagnostic algorithm to risk-stratify these patients.
- Acute left-sided colonic diverticulitis: A surgeon’s perspective on the ACP guidelines
The updated guidelines push for less-aggressive management of uncomplicated diverticulitis in select patients.
- Deadly drug rashes: Early recognition and multidisciplinary care
An illustrated review of 4 severe drug rashes. Early recognition and prompt withdrawal of the causative agent are crucial.
- What is the optimal approach to infiltration and extravasation of nonchemotherapy medications?
The immediate response is warm or cold compression and assessment of the severity.
- What are my obligations to my incarcerated patient?
A court order authorizes a blood transfusion, but the incarcerated patient refuses the transfusion. As the caregiver, am I obligated to follow the court order against the patient’s wishes?