The EM Educator Series covers cervical vessel dissection.

Internal hernias are deadly. How do patients present, and what should you consider regarding ED evaluation and treatment?

Clay brings you 3 great studies on thoracotomy technique, antibiotics for diverticulitis, and crotalid envenomation treatment.

Great review from REBEL EM on RMSF

Visual Wednesdays brings you TIA.

We cover end stage renal disease and complications on today's podcast.

How should we evaluate and work up suspected foreign bodies? When should foreign bodies be removed in the ED vs. managed in the OR? What equipment do you need to manage an airway with a foreign body?

A previously healthy 2-year-old boy presents with 3 days of recurrent nosebleeds. He had no adverse birth history and is up to date on his vaccinations. The patient’s mother denies any known trauma and the patient denies picking his nose. In addition, he has no fever, headaches, nausea, hematuria, dysuria, vision changes, or known toxic ingestions. The patient’s uncle previously had issues with bleeding after surgery. Physical exam is remarkable for ongoing epistaxis via bilateral nares. Initial laboratory results include white blood cell count 10,900/μL, hemoglobin 10.9 g/dL, platelet count 200 × 103/μL, APT 45.6s. What's the diagnosis, and what are your next steps in evaluation and management?