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ERCAST

Welcome to ERCast, a focused discussion on the questions, quagmires and known unknowns we face everyday in the emergency department.

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Dec 27, 2011

One of the most important factors driving the medical workup on a well appearing, febrile infant is the prevalence of serious bacterial infection (SBI) . This number changes depending on age and immunization status (pneumococcus vaccine having the most impact in North America.) The higher the likelihood of...


Dec 1, 2011

As interview with podcast and blogging grandmaster Mark Crislip, MD on vaccinology and influenza.

Mark's website

CDC Flu Site

CDC info for clinicians on antiviral medications and influenza testing

Check out ZdoggMD's video 'Immunize'. Honorable mention winner of the 2011 Disposable Film Festival.


Nov 18, 2011

The list of potential badness in the pregnant patient with right lower quadrant pain is long and distinguished, but it often comes down to a simple question, "Does this patient have appendicitis?" The subtext of this question is, "Is this patient going to need a CT scan?" Nobody likes ordering am abdominal CT on...


Oct 31, 2011

Hyphema:  blood in the anterior chamber of the eye. It may appear as a reddish tinge, or it may appear as a small pool of blood at the bottom of the iris or in the cornea.
Grade 1 - less than 1/3rd of anterior chamber
Grade 2 - 1/3 to 1/2 of anterior chamber
Grade 3...


Sep 28, 2011

It's deeply rooted medical dogma that spinal tap needs to follow a negative CT when evaluating patients for subarachnoid hemorrhage. New literature has come out to challenge that idea. We talk with Scott Weingart of emcrit.org and Ryan Radecki of Emergency Medicine Literature of Note about a 2011 BMJ paper that...