USPSTF on screening for abdominal aortic aneurysm

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Cardiovascular diseases, Emergency Procedures, medical procedures
More Tags – abdominal aortic aneurysm, HPC updates, screening, smoking, ultrasonography
The USPSTF continues to recommend screening primarily in 65- to 75-year-old men who have ever smoked. U.S. Preventive Services Task Force (USPSTF)​ Background Prevalence of abdominal aortic aneurysms (AAAs; defined by an aortic diameter of ≥3.0 cm) in adults older…
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Isolated free fluid on CT Imaging after Blunt Abdominal Trauma: Explore or Wait?

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Emergency Procedures, medical procedures, Traumatology
More Tags – abdominal trauma, HPC updates, Trauma CME
Patients with minimal free fluid and no abdominal tenderness can be observed, while patients with moderate-large amounts of free fluid and abdominal tenderness should undergo operative exploration. To determine if operative exploration or observation is the preferred management for hemodynamically…
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Massive Price Reduction on HPC Hospitalist and Emergency Procedures CME courses

Hospital Procedure Consultants
More Articles – Arterial line, Emergency Procedures, Medical General, Paracentesis, Thoracentesis
Early Registration Discount for ALL 2014 Hospitalist and Emergency Procedures CME courses is now $150 for physicians and $200 for nurse practitioners, physicians assistants, medical students, resident physicians, and military physicians Click Here for PDF version May 13, 2014 –…
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Procedural Sedation and Analgesia in the ED

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Emergency Procedures, medical procedures, Procedural Sedation
More Tags – capnography, conscious sedation, HPC updates, procedural sedation
The American College of Emergency Physicians (ACEP) just published a new clinical policy on procedural sedation and analgesia in the emergency department, which revised the previous policy from 2005.1  Procedural sedation (conscious sedation) is extremely common in the ED and…
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Endotracheal Intubation When You Can’t See the Cords: the Bougie is Your Friend

Hospital Procedure Consultants
More Articles – Emergency Procedures, Endotracheal Intubation, Laryngeal Mask Airway, medical procedures, Respiratory diseases
More Tags – airway management, Bougie, difficult airway management, intubation
Endotracheal Intubation When You Can’t See the Cords: the Bougie is Your Friend This is a problem that every emergency physician or hospitalist faces on occasion and if you haven’t encountered this problem then you haven’t done enough intubations.  There…
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Ultrasound is More Sensitive Than Chest X-ray for Detection of a Pneumothorax

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Chest Tube, Emergency Procedures, FAST Exam, Medical General, medical procedures, Respiratory diseases
More Tags – E-FAST, HPC updates, pneumothorax, POCUS
Pneumothoraces are a common problem in the ER and the ICU.  The traditional screening test for a pneumothorax in the hospital is the chest radiograph; however, chest radiographs are not very sensitive in the setting of trauma and in ventilated…
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