recent articles

em@3am

EM@3AM: Small Bowel Obstruction

A 63-year-old female presents with abdominal pain, decreased bowel movements, nausea, three episodes of vomiting, and abdominal distension. She has a history multiple abdominal surgeries. Exam shows abdominal distension and generalized tenderness, but no peritoneal signs. What are your next steps?

em@3am

EM@3AM: Acute COPD Exacerbation

A 58-year-old male presents with severe shortness of breath, productive cough, and decreased ability to ambulate at home. He has COPD and is on oxygen at home. Several days ago he noted worsening congestion, myalgias, and cough. He is now severely short of breath and unable to complete his activities of daily living. He is hypoxemic and tachypneic. You hear decreased air movement bilaterally and distal wheezes. What's the next step in your evaluation and treatment?

practice updates

2018 AHA/ASA Ischemic Stroke Updates

With all the new stroke literature, how can you keep track of everything? Fortunately, the AHA/ASA recently published the 2018 ischemic strokes guidelines. This post provides emergency medicine-focused highlights of the updated guidelines.

em@3am

EM@3AM: Myocarditis

A 18-year-old male presents with chest pain and shortness of breath for several days. Approximately one week prior he was suffering from myalgia, congestion, sore throat, and fever and was diagnosed with an upper respiratory infection. Today his vitals are HR 132, RR 28, BP 92/48, T 37.8 C, and Sats 95% on RA. What should you consider, and what are your next steps?

practice updates

emDocs Cases: ED Approach to Agitation

Welcome to this edition of emDocs Cases. This will be a case-based discussion of EM topics, ranging from core to cutting edge and controversial. This post evaluates something all-too-common in emergency medicine: the agitated patient.

em@3am

EM@3AM: Henoch-Schonlein Purpura (HSP)

A 6-year-old male presents with rash, joint pain, and abdominal pain. VS are normal, and exam reveals palpable purpura in the lower extremities. His abdomen is not tender to palpation, and his testicles are normal. Platelets and coagulation panel are normal. What is the diagnosis?