This EM Educator looks at gastric perforation.

Pain is multifactorial: it is comprised of physical, psychological, emotional, cultural, and contextual features. In children often the predominant feature may not be initially apparent. Although clinicians may focus on the physical component of pain, much time, energy, and suffering can be saved through a holistic approach.

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.

Last month’s case was an example of a missed MI due to anchoring bias based on the patient’s prior history of pulmonary fibrosis. In this month’s brief summary, we are reminded that myocarditis is another cause of chest pain that must be considered, especially in younger patients.

Last week marked the release of the updated American Society of Hematology (ASH) ASH Draft Recommendations Sickle Cell Disease-Related Pain.  This EMDocs article addresses each of the draft recommendations listed on behalf of ASH as related to the ED-setting. 

Can you accurately diagnose acute chest syndrome in children with ultrasound? Learn more about this with the latest post from US Probes.

What should you consider in the patient with chest trauma? This post provides pearls and pitfalls in the evaluation and management of the patient with trauma to the chest.