The Land of Protocols
Welcome to the Land of Protocols, home of the Clinical Pathway (closely related to the Yellow Brick Road). (I'm not trying to make any direct connection to the Wiz, but…).
Category American ER Doc Walkabout
Stringing together a few rules of thumb
Let’s go back a few decades: a person presents to the ER with signs of sepsis and a low blood pressure. We evaluate the neck veins, listen to the lungs for crackles, maybe evaluate the BP response to Trendelenberg positioning.
More Notes from SAEM 2014
Rick Abbott is back with more notes from SAEM 2014 - now his head hurts.
Notes from SAEM 2014
LITFL's American ER Doc gone Walkabout reports from the SAEM 2014 annual scientific meeting.
The ‘Olden Days’ and the (o)esophagus
Rick Abbott reminisces on his adventures over the years in relieving esophageal obstruction from food boluses.
EBM and the rule of thumb
American ER Doc Gone Walkabout Episode 026 Wise use of EBM makes us much more reasonable Doctors. I meet a young woman, previously healthy… She’s had a little fever, some congestion, has been coughing and sneezing for a few days,…
If you die, do you want to stay dead?
American ER doc gone walkabout Rick Abbott shares some ideas about end of life discussions in the emergency department. This post is inspired by a recent EM:RAP podcast...
Why do we get to treat so few strokes?
Rick Abbot is back at last, with the tale of his own potential neurological catastrophe - with musings on delayed ED presentations and the quality of neurological physical examination.
Sore throats and the learned professional
American ER Doc Gone Walkabout Episode 023 Let’s take a single complaint – “sore throat” – and look at a few of the ways that it can be handled. Let’s say that we’re satisfied with having a good outcome with…
Lies, Damned Lies and Monitors
Rick Abbott — LITFL's American ER Doc Gone Walkabout — relates his experience with lies, damned lies and monitors.
Postal Codes and the Gallbladder
Rick Abbott rants on postal codes and cholecystectomies: the difference between when a gall bladder should come out and when it does come out.
Final News from ACEP12
All good things must come to an end, and so it is with #ACEP12. Rick Abbott shares his thoughts on the final day.