emDOCs Podcast – Episode 91: Marine Envenomation and Trauma
Today on the emDOCs cast Alexis Koda covers marine envenomations and trauma.
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FOAMed
Sepsis Updates Relevant to the Emergency Physician
What are the recent updates when it comes to our management of sepsis in the ED?
Sepsis Updates Relevant to the Emergency Physician Read More »
EM@3AM: Hyperthermia
A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. Point of care glucose in the field was 102 mg/dL. Vital signs include BP 80/40 mm Hg, HR 154 bpm, T 41C rectal, RR 28 breaths per minute, saturation 94% on room air. The patient is agitated, not oriented, and becoming combative with ED staff. A 12-lead EKG shows sinus tachycardia but is otherwise normal. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. What is your diagnosis, and what are your next steps in evaluation and management?
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Medical Malpractice Insights: On-call trauma surgeon unavailable. Patient dies in ED.
Dr. Pilcher looks at consultant challenges and call policies.
Medical Malpractice Insights: On-call trauma surgeon unavailable. Patient dies in ED. Read More »
ECG Pointers: STEMI Equivalents from the American College of Cardiology
ECG Pointers returns with STEMI equivalents from the American College of Cardiology.
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Journal Feed Weekly Wrap-Up
Journal Feed covers early versus delayed intubation in critically ill patients, dexamethasone for migraines, and viral infection affect on procalcitonin levels.
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Policy Playbook: Executive Order on Artificial Intelligence (AI)
This edition of Policy Playbook looks at the Executive Order on Artificial Intelligence.
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EM@3AM: Oculomotor Nerve Palsy
A 50-year-old female with no past medical history presents to the ED with a diffuse, constant headache onset a few weeks. The patient describes droopiness of the left eye and double vision associated with specific directional movements of the eye. On exam, you note ptosis of the left eye with findings as indicated in the photograph below (inability to adduct, ability to abduct). The left pupil is dilated at 5mm and minimally reactive to light; the right pupil is 3mm and reactive. The remaining cranial nerve testing and components of the neurological exam are normal.
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emDOCs Videocast: EBM Update – Steroids in Severe CAP and CT in Post ROSC OHCA
Welcome to the emDOCs Videocast. These videos will cover post summaries, take homes on clinical condition, and EBM/guideline literature updates. Our first video provides EBM updates on steroids in severe community-acquired pneumonia and CT in post ROSC OHCA.
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