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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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Jun 29, 2015

This is part two of a two part series on chronic pain.

 

Pearls:

  • Set realistic expectations when treating patients with chronic pain.

  • For the vast majority of patients, antidepressants are the first-line pharmacologic choice for the treatment of chronic pain.

  • Patients who present after the acute phase of a...


Jun 29, 2015

Part one of a two part series on caring for patients with chronic pain

Pearls:

  • With few exceptions, opiate therapy should be reserved for the short-term treatment of acute somatic pain due to tissue injury.

  • Patients with acute pain should be informed early on that once tissue healing starts, opiates will...


Jun 28, 2015

When we want to clinically clear the adult cervical spine, what do we do? We whip out a handy dandy decision instrument. Canadian C-spine? Yes! NEXUS? Boom, you betcha! But when it comes to kids, there's just nothing out there that even resembles a prospectively validated clearance tool. We're left with are gestalt,...