Hyponatremia is challenging. This post from Nikita Desai and David Jang looks at the patient with critical hyponatremia.

A 22-year-old male is brought in by EMS to the ED after falling 20 feet. He landed primarily on his right leg, which is now obviously deformed with broken skin and exposed bone distally. He is in obvious pain with a grossly deformed right ankle. Pulses are normal and equal bilaterally. What’s the next step in your evaluation and treatment?

Burn and inhalation injury patients present to the ED more often than one might think, with a staggering half a million annual visits in the USA alone. It turns out that for all burn patients—from minor to severe—there is a lot of room for improvement in ED management, counselling and disposition.

The EM Educator series covers ESRD and its complications, dialysis access, and laboratory/medication considerations.

Cleavon MD is back with a video on how to read an EKG.

Whether you work in a community or academic center, patient transfer is a key part of your daily work. What do you need to know about interfacility transfers?

Welcome to the first Journal Feed Wrap-up for 2020! This week Clay covers interventional therapies for acute PE, the FAINT score for syncope, and IV TXA for hemoptysis.

The authors of this paper seek to increase the use of cardiac POCUS by collaborating with cardiologists to create a focused cardiac ultrasound protocol.