Welcome to a New Year of the emDOCs podcast! Today we cover some tricky endocrine topics: decompensated hypothyroidism and euglycemic DKA.

When should you consider blunt cerebrovascular injury, and what's the evaluation and management?

A 67-year-old female with a history of CHF and CKD was brought in by ambulance from her nursing home for a gastrointestinal bleed. The patient’s total fluid balance from her nursing home was 2.5L over the past 24 hours. Her point of care hemoglobin is 4 g/dL and a transfusion of 2U pRBC and 1 FFP was initiated, though within approximately 1 hour of starting the transfusion, the patient became acutely short of breath and stated she was having severe difficulty breathing. What’s the next step in your evaluation and treatment?

Thank you for everything you do! We bring you the top posts from this last year.

The EM Thinker series is back with high yield considerations for your next shift.

How do you perform a focused vascular exam?

Necrotizing pancreatitis can present with critical illness. This post looks at the ED evaluation and management.

What do you need to know about the Cures Act? This collaboration between emDocs and the EMRA Health Policy Committee provides what you need and more.