Rub Some Gel on It? Alternative NSAIDs for Acute Low Back Pain

By Amber Sheeley, PA-C
on January 14, 2025

Acute low back pain is one of the most common reasons patients present to the emergency department. Yet, when it comes to evidence-based management, our approaches often feel like “dealer’s choice.”  We know NSAIDs are better than muscle relaxers and opioids, but what about topical options?

The Hidden Widowmaker

By Amber Sheeley, PA-C
on July 15, 2024

You've seen it countless times: a patient walks into the ED with chest pain, and the EKG isn't screaming STEMI. But in follow-up, they end up having a massive myocardial infarction. What is the hidden culprit lurking behind those non-alarming EKGs? Welcome to the Occlusive Myocardial Infarction (OMI) world, where traditional STEMI criteria fall short, and a new paradigm shifts our approach to acute cardiac ischemia.