What should you consider in cardioversion in the patient with atrial fibrillation? Who's at risk for decompensation?

Journal Feed brings you three great articles on BRUE, bronchiolitis, and ondansetron.

We dive into the recognition and ED management of Hyperglycemic Hyperosmolar State (HHS)!

Small Talk is back with BRUEs.

The emDOCs Podcast covers severe asthma and asthma mimics.

The debate continues... When should you consider LR versus NS?

A 25-year-old female with no significant past medical history presents with progressive periorbital and lower extremity edema for one week. She denies recent fever, chest pain, shortness of breath, allergies, or recent travel. Vitals include BP 120/90, HR 90, RR 18, Temp 98.7F. Exam shows a developmentally normal female in no acute distress. She has bilateral pitting edema up to knees without skin changes, but the rest of the exam is normal. Her pregnancy test is negative. What is the likely diagnosis?

This is one of those conditions that can generate a lot of confusion and debate among intelligent people… and is therefore fun to think about.