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em@3am

EM@3AM: DVT

A 28-year-old female presents with right lower leg swelling and redness. She just returned from an overseas flight. She denies chest pain or shortness of breath. VS are normal, and her right lower leg is swollen, with diameter > 3 cm compared to her left. What’s the next step in your evaluation and treatment?

Pain Profiles

Pain Profiles: Ketamine for Analgesia

Today's post in the Pain Profiles series by Dr. David Cisewski evaluates a medication being used more and more in the ED: ketamine. How can you optimize your use of this medication for patient analgesia?

em@3am

EM@3AM: Toxic Megacolon

A 28-year-old male presents with abdominal pain, diarrhea, distension, and fever. He has a history of ulcerative colitis. Vital signs include BP 97/58, HR 121, T 100.9 Oral, RR 24, SpO2 98% on RA. Exam reveals a patient who appears systemically ill, and his abdomen is diffusely tender. His bowel sounds are decreased, but he has no peritoneal findings. KUB shows markedly dilated loops of bowel. What's the next step in your evaluation and treatment?