Today on the emDocs cast we cover pediatric toxicology and one pill/taste can kill toxins.

How can you avoid missing mesenteric ischemia?

A 69-year-old female presents with shortness of breath, orthopnea, and lower extremity swelling. She has a pacemaker placed 3 years ago for a complete heart block. She hands you her pacemaker identification card indicating that she has a single chamber pacemaker. Triage EKG: ventricular pacing spikes followed by QRS complexes. She has crackles at the lung bases and 2+ lower extremity pitting edema. What is the diagnosis? What is your next step in evaluation? What are some the types of pacemaker complications you should be evaluating for?

In this EM Cases Episode 131 PEA Arrest, PseudoPEA and PREM with Rob Simard of POCUS Cases fame and the co-author of The POCUS Pulse Check paper and Scott Weingart, we go beyond ACLS and guide you through the complex world of Pulseless Electrical Activity (PEA).

Cleavon MD is back with a video on intubating the sick pediatric patient.

The EM Educator series is back with hyperkalemia!

What are some potentially dangerous conditions that can result in abdominal pain, but often are not at the top of our differential? This post looks at the "Cannot Miss", "Dime a Dozen", and "Zebra" conditions.

Clay Smith brings some practice changing articles on ischemic stroke, musculoskeletal pain management, and early norepinephrine in septic shock.