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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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Life, The Universe and UTIs

Feb 28, 2012

How do you treat an uncomplicated urinary tract infection? What is your go to agent? There’s no best answer because much of it depends on your local resistance and susceptibility patterns. But one drug that causes some confusion is nitrofurantoin. For the most part, it’s a great first line agent for uncomplicated...

The Constipation Manifesto

Feb 3, 2012

There are many paths to laxation, below are my management strategies.

Patient is on narcotics and you want to prevent constipation

1. Polyethylene glycol (PEG) 17g/1 glass per day. Up to 3 doses daily if needed

2. PEG + fecal inotrope/stimulant. Senna first choice

3. Docusate + Senna

Docusate alone is probably not...