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EM@3AM: Bradypnea

A 53-year-old male with hyperlipidemia and cervical stenosis presents with dyspnea, which has been worsening since his cervical spinal fusion 6 days ago. He states he is very fatigued and feels as though he cannot get a deep breath. Vital signs revealed a BP of 136/76, HR of 88, RR...
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    Articles

    Ischemic Colitis: ED Presentations, Evaluation, and Management

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    What should you consider in your evaluation and management of the patient with suspected ischemic colitis?
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Clay Smith and the Journal Feed team cover TTM in non-shockable rhythms, POCUS for abscess, and single syringe adenosine for SVT.
    Journal Feed
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    • R.E.B.E.L. EM

    R.E.B.E.L. EM – Abscess Management: The Reformation of an Antibiotic Nihilist

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    Abscess management has evolved somewhat in the 14 years since my residency graduation. The point at which antibiotics are likely to be more helpful than harmful is not always easy to assess, and evidence based expert opinion has flip flopped impressively.
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    ToxCard: Pediatric Toxicology – One Pill/Taste Can Kill

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    One pill can kill... You need to know these medications when caring for pediatric patients.
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    • perspectives

    Mindfulness for Physician Wellness (and Even Your Patients?)

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    Can mindfulness improve your well-being and patient care? What about speaking with your patients about mindfulness?
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    An Understated Myth? Strep Throat & Rheumatic Fever

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    Sore throat (aka, pharyngitis) is the 3rd most common complaint for physician visits. Although the overwhelming majority of these cases are viral in origin (rhinovirus ~20%), the major focus of our attention in the ED stems around the question of “strep (GAS) vs not strep” and who gets antibiotics…. does
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