Rhabdomyolysis Review – Recalling What You Learned in Cell Biology

Paul Griner, MD, MACPEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

Rhabdomyolysis Review - from muscle tear to dark urine

Rhabdomyolysis – A Quick ReviewRecalling What You Learned in Cell Biology Rhabdomyolysis refers to the disintegration of striated muscle with the release of muscle cell contents into the circulation. It is a potentially fatal acute illness requiring aggressive treatment. Common causes of rhabdomyolysis include trauma, prolonged external compression, extreme exertion, and various drugs including, alcohol, cocaine, and opiates. Clinical features … Read More

Stroke Presentation, Workup, and Treatment Content and Platform Updates from Med-Challenger, Summer 2020

Nancy M. Anderson, MBA, MSEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

Stroke Presentation, Work Up and Treatment content updates, Med-Challenger 2020 Summer Content and Platform Updates

New Stroke Presentation, Workup, and Treatment Guidelines, New Content and Platform UpdatesMed-Challenger Content and Platform Updates, Summer 2020 New Stroke Presentation, Workup, and Treatment Guidelines Med-Challenger is excited to announce updates of our Stroke Presentation, Workup, and Treatment materials to incorporate the most recent recommendations from the American Heart Association and American Stroke Association (AHA/ASA) recommendations. Shortly after the 2018 … Read More

Medical Misinformation: The Other Pandemic – How Clinical Misinformation Causes Harm

Mark Perdue PA-CEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

Medical Misinformation

Medical Misinformation: The Other PandemicMedical Misinformation Blog Series, Part 1 of 3 Misinformation is nothing new. I remember, as a child, standing in line with my mom at the grocery store and reading the headlines of a tabloid – a member of congress was reported  to be an alien, of the extraterrestrial variety, and to our shock, a particular celebrity … Read More

Guideline Knowledge Check – 2020 National Anaphylaxis Practice Parameters

Andrea Eberly, MD, MS, FAAEMEmergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Pediatric Emergency Medicine, Pediatric Medicine, Physician Assistant, Urgent Care

2020 national anaphylaxis practice parameters update

Anaphylaxis – 2020 National Practice Parameter UpdateThe guidelines for systematic review, and grading ofrecommendations, assessment, developmentand evaluation (GRADE) analysis of anaphylaxis have been updated. Stay in step with current national guidelines. Subscribe to Med-Challenger Guideline Knowledge Checks. Today’s Guideline Knowledge Check question comes from the desk of Med-Challenger Emergency Medicine Editor-in-Chief, Andrea Eberly, MD, FAAEM. As many as 5% of people … Read More

White Blood Cell Counts, WBC Count Fine Points – Closing the Clinical Knowledge Gap

Paul Griner, MD, MACPEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

White blood cell counts - what you might not know about WBC counts

White Blood Cell Counts – Clinical Knowledge GapsWhen You Might Not Know About WBC Counts White blood cell counts serve three purposes… The most important purpose of WBC counts is to determine at the time of presentation, whether the counts are elevated or reduced when evaluating a patient with an acute illness. Secondly, the white blood cell counts serve to … Read More

Imaging for Concussion, When to Image the Brain – Closing the Clinical Knowledge Gap

Paul Griner, MD, MACPEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

imaging for concussion - using the glasgow coma score to know when to image the brain

Imaging for Concussion – Closing the Clinical Knowledge Gap Regarding When to Image the Brain in Cases of Suspected Concussion Clinical guidelines should never be followed so rigidly that unique, medically important information of an individual patient is ignored in order to retrofit the patient to the guidelines. However, it is helpful to be aware of the more common and … Read More

Best CME Budget Deals – How to Get the Most From Your CME Budget, CME Allowance and Spend Your CME Dollars Wisely

Nancy M. Anderson, MBA, MSEmergency Medicine, Family Medicine, Internal Medicine, Medical News, Nurse Practitioner, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Urgent Care

best use of your cme budget - summer cme sale and cme deals

How to Get the Most Out of Your CME Budget or CME Allowance: Best CME Deals So, you have CME dollars to spend before they go ‘poof?’  Let’s take a look at the best CME budget deals available so you can spend your CME allowance most wisely. Many physicians, even some nurse practitioners and physician assistants, are lucky enough to … Read More

Fit For Duty? The Importance of Sound Mindedness in Clinical Practice

Mark Perdue PA-CEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

sound mindedness in clinical practice

Fit For Duty? The Importance of Sound Mindedness in Clinical Practice In a previous post we discussed cognitive bias and how our mind’s own natural way of thinking can lead us into mental traps. In that post we also noted another kind of vulnerability—cognitive deficits that also can impact our ability to make appropriate medical decisions. In this post I’d … Read More

Guideline Knowledge Check – ACCP COVID-19 Guidelines for COVID-19 Imaging

Andrea Eberly, MD, MS, FAAEMEmergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Pediatric Emergency Medicine, Pediatric Medicine, Physician Assistant, Urgent Care

Guideline Knowledge Check - ACCP COVID-19 Guidelines for COVID-19 Imaging

ACCP Guidelines for COVID-19 ImagingACCP Consensus Panel Statement on When and How to Acquire COVID-19 Imaging. Imaging COVID-19 is an important part of COVID-19 diagnosis and treatment, but is there a recommended method of COVID-19 imaging? An international panel of physicians experienced in treating adult patients with COVID-19 has developed recommendations for the use of chest imaging (x-ray or computed … Read More

Bedside Diagnostic Challenge – An Elderly Woman Presents to the Emergency Room Confused and Disoriented

Paul Griner, MD, MACPBedside Diagnostic Challenge, Emergency Medicine

confused and disoriented elderly woman diagnostic case

Bedside Diagnostic Challenge – An Elderly Woman Presents to the Emergency Room Confused and Disoriented Bonus Follow-Up Question included in answer explanation. An elderly woman is brought to the emergency room of a local hospital after she is found wandering along the street and, upon questioning by the police, is noted to be confused and disoriented. In the emergency room, … Read More