emDocs brings you the EM Thinker series, which follows in the footsteps of the EM Mindset and EM Collective Wisdom series.

What? Discharge the patient with neutropenic fever? Yes, this may be an option...

This week's Journal Feed brings you measles, atrial fibrillation, a counterpoint on the pelvic exam in the ED, and using the YEARS algorithm in pregnant patients with suspected PE.

You know how to intubate safely. You can recite all of the Ps backwards and forwards – until you can’t.

This edition of the EM Educator series looks at penetrating neck trauma and provides some great #FOAMed resources.

How do you evaluate the ECG in the patient with an ICD? This post in the ECG Pointers series gives you what you need to know.

How should you use push-dose vasopressors in the ED? This post looks at the evidence behind their use and provides key points for patient care. As an added bonus, the post contains cards that can be printed for easy use on shift.

A 43-year-old female presents with altered mental status.  Her husband states she has had weight gain, constipation, fatigue, and skin changes. Vital signs include BP 92/60, HR 48, T 93.2 rectal, RR 13, SpO2 96% on room air. She is alert and oriented x 1, and her neck reveals a well-healed midline anterior neck scar. Her abdomen is soft but distended, and her extremities are cool. What’s the likely diagnosis?