Episode 55 -Management of Acute Urinary Retention in the Emergency Department

Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!

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Episode 55 -Management of Acute Urinary Retention in the Emergency Department

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EMplify – March 2021

Management of Acute Urinary Retention in the Emergency Department

1. An algorithmic approach to urinary retention.
2. Relieve the obstruction
   • Foley
   • Cudet cather
   • Silicone catheter
   • Suprapubic catheter
3. Determine the cause –
   • Structural
   • Medications / Toxicologic
   • Neurologic
   • Infectious
4. Alpha blockers
5. Antibiotics
6. Slow vs rapid bladder decompression
7. Admit or discharge
8. Phimosis and Paraphimosis

Announcements:

1. New Airway Course Available: Current Topics in Airway Management: Mechanical Ventilation, Supraglottic Airway Devices, and Intubating Patients With COVID-19
2. Upcoming Live Course: Dr. Scott Weingart – Traumatic Hemorrhage – April 13th., 8-9pm, EST
3. Look for the “Key Points And Pearls From 2020” coming to your inbox or mailbox next month !

Last Updated on January 25, 2023

Sam Ashoo, MD

Sam Ashoo, MD, FACEP,  is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…