Methotrexate Toxicity

Background Methotrexate is a drug which is often unintentionally involved in medication misadventure. Because of its unusual dosage requirements (e.g. weekly rather than daily dosing) it is particularly associated inadvertent mistakes by patients and medical staff.  This may occur as a result of confusion by patients with other ‘daily’ medications or prescriptions being misinterpreted by nursing … More Methotrexate Toxicity

We Suck – 6 Tips for Controlling Pain in the Emergency Department

Bloody Pain Management! I was thinking today we suck at pain management.  I can definitely manage this patient’s pain better.  So why don’t I?  Why do I struggle to manage my patient’s analgesia? Am I too busy? What’s the problem? Why does my medical student think giving pain relief is a bad idea? If this is an issue … More We Suck – 6 Tips for Controlling Pain in the Emergency Department