Your overnight junior calls for your help with his decompensating intubated patient. The patient is a 54 year-old male with a history of COPD who was intubated ten minutes ago. The ventilator is alarming due to high pressures. The patient’s current vitals are HR 140, BP 80/50, SpO2 82%. The ventil...
You may not know what cognitive load is, but if you work in an Emergency Department (ED) you are probably carrying a ton of it. Cognitive load refers to the total amount of mental effort burdening your working memory at any given time. Working in an ED can involve extremely high cognitive load, and...
A time-sensitive diagnosis: testicular torsion. This review evaluates the clinical presentation, diagnosis, and management of testicular torsion, providing an evidence-based update for emergency providers.
How can you decrease the risk of the peri- and post-intubation patient decompensation? This post is filled with pearls that you need to know!
Dizziness is a common chief complaint with a large differential ranging from benign to a life-threatening bleed. How should you approach the patient with dizziness, and what do you need to consider?
The trauma patient with tracheal injury. We discuss blunt and penetrating neck trauma and management pearls/pitfalls in this life-threatening injury with a great case.
A stroke mimic is defined as a nonvascular disease that presents with stroke-like symptoms, often indistinguishable from an actual stroke. Why does it matter if a mimic is diagnosed as a stroke? Learn the pearls and pitfalls of stroke mimics.
Your shift starts and all of your patients are bleeding! There is an MVC victim with a tense abdomen and traumatic brain injury, a patient with an upper GI bleed, a woman whose spontaneous vaginal delivery has turned into a post-partum hemorrhage, and a brisk epistaxis in the back hallway. You tha...
