recent articles

Peds EM Morsels


We cannot afford to be cavalier in our jobs. What is, on the surface, seemingly simple, may be more complex. Take for example, the “Sore Throat.”


EM@3AM: Peritoneal Dialysis Emergencies

A 42 year-old male presents with abdominal pain and fevers for 72 hours, with nausea and vomiting for 24 hours. He has a history of ESRD and has been on peritoneal dialysis for 5 years. Triage vital signs (VS): BP 105/60, HR 121, T 101.4 temporal, RR 24, SpO2 98% on room air. Pertinent physical examination findings include a tender peritoneal dialysis site and diffuse abdominal tenderness, but no erythema overlying the PD site. What’s the next step in your evaluation and treatment?

Ultrasound G.E.L.

Ultrasound G.E.L. – E/e’ for Acute Heart Failure

Point of care ultrasound protocols for acute heart failure are a dime a dozen these days - for good reason. Ultrasound has made this diagnosis way easier in the acute care setting. The question now is who can come up with the best protocol - something easy, accurate, and fast. These authors put their spin on the traditional heart and lungs protocol by including a measurement of the left atrial pressure. How does it hold up?