Journal Feed Weekly Wrap-Up
Journal Feed covers resuscitation before intubation, insulin for hyperkalemia, and the PENG block.
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FOAMed
POCUS Diagnosis of NSTI
How can you use POCUS to evaluate for necrotizing soft tissue infection?
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2026 Guideline: Evaluation and Management of Acute PE
The AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN published a de novo guideline providing recommendations for evaluation, management, and follow-up of adults patients with PE. This post summarizes these new guidelines.
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EM@3AM: Morel-Lavallée Lesion
A 30-year-old female presents after sustaining a motorcycle collision at highway speeds. She was wearing protective equipment, including a helmet, gloves, knee and elbow pads, and riding boots. She denies loss of consciousness but reports severe right lower extremity pain rated as 10 out of 10. Vital signs reveal BP 93/78 mmHg, HR 122 bpm. During the secondary survey, a rapidly expanding mass is noted over the right lateral thigh. The overlying skin is tense and tender to palpation.
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emDOCs Podcast – Episode 135: Ectopic Pregnancy Myths Part 1
This podcast evaluates myths and misconceptions in ectopic pregnancy, focusing on risk factors, history, and exam.
emDOCs Podcast – Episode 135: Ectopic Pregnancy Myths Part 1 Read More »
Journal Feed Weekly Wrap-Up
Journal Feed brings you NIPPV for severe asthma, CT for diagnosis of globe rupture, and non-IV ketamine for pediatric sedation.
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ECG Pointers: Another Crashing Patient at Sign Out? Well Flec me…
ECG Pointers covers flecainide toxicity and the ECG findings.
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Dengue: ED presentation, evaluation, and management
What do you need to know about dengue fever?
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EM@3AM: Cranial Nerve Syndromes
A 15-year-old female with PCOS, obesity, asthma, and recurrent otitis media with bilateral tympanostomy tube placement reports three weeks of increasing sanguineous drainage, ear pain, fevers, and worsening left-sided headaches not improving with NSAIDs. She localizes the pain behind the left eye and additionally reports loss of lateral vision in her left eye, as well as double vision when looking to the left. On exam, she has a thickened, inflamed appearing left tympanic membrane with sanguinopurulent drainage from the left tympanostomy tube. She additionally has tenderness and swelling to the left mastoid process. Examination of the eyes reveals normal, symmetric, and reactive pupils. The patient has binocular horizontal diplopia on left lateral gaze and downgaze, which resolves with covering either eye. She has decreased vision in the lateral visual fields of the left eye on confrontational field exam.
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Medical Malpractice Insights: Two kids die hours after discharge… Is it your fault? Here’s why (not).
Dr. Pilcher covers two difficult cases in this month’s medical malpractice insights.