Consider Using Computed Tomography Reconstructions of the Chest/Abdomen/Pelvis to Rule Out Thoracic and Lumbar Fractures and Dislocations Suneel Khetarpal MD Barbara Haas MD Evaluation for the presence of thoracolumbar spine…
Do Not Use a Negative Focused Assessment With Sonography for Trauma (Fast) Exam to Rule Out Bowel Injury or Injury to the Retroperitoneum or as the Only Test in Penetrating…
Consider Pulsus Alternans as a Sign of Impending Tamponade Melissa Camp MD Cardiac tamponade occurs when fluid accumulates in the pericardial space and leads to impaired diastolic filling due to…
Diagnose Tamponade Based on Clinical Findings and not Echocardiogram Jay Weller MD Signs and Symptoms Cardiac tamponade occurs when increased intrapericardial pressure for any reason (e.g., blood, fluid, air) impedes…
Obtain an Echocardiogram to Rule Out Bacterial Endocarditis in Gram-Positive Bacteremia Mike Faulkner MD Bacterial endocarditis is an uncommon condition with significant morbidity and mortality. The classic clinical triad of…
Post a Sign Outside of the Door of Patients Who Have Received a Tagged White Blood Cell Scan Warning of the Pregnancy Risk Tonya N. Walker MD Elizabeth A. Martinez…
Remember When Reviewing Doppler Ultrasound Results that the Superficial Femoral Vein is a Component of the Deep Venous System Patrick Schaner MD Signs and Symptoms Doppler ultrasound of the veins…
Treat Loss of Doppler Signals in a Free Flap as a Surgical Emergency Mazen Bedri MD Surgical Technique The use of autologous free tissue transplantation was pioneered in the 1950s…
Call for a Sengstaken-Blakemore or Minnesota Tube When a Cirrhotic Patient has an Upper Gastrointestinal Bleed Anthony D. Slonim MD, DRPH Cirrhotic liver disease is a condition that is caused…
Consult Surgery Emergently if a Patient With a Bleeding Peptic Ulcer Rebleeds after Endoscopic Control Lee Ann Lau MD Heidi L. Frankel MD Peptic ulcer bleeding is a significant concern,…
