A 75-year-old male with a history of hypertension, osteoarthritis, and diabetes mellitus presents to the ED with a chief complaint of lower back pain.  He states that he fell a few days ago and the pain is getting worse, particularly when he is sitting down. His vitals include blood pressure 150/95, heart rate 95, SPO2 99%, temperature 36.6C, and a glucose of 143. On examination, the pelvis is stable, but he endorses tenderness midline along his sacrum. He has a normal neurologic exam in all extremities. What’s the diagnosis?

Walid Malki and Visual Wednesdays are back with Boxer's Fracture!

A 28-year-old male presents as a transfer from an urgent care with report of left-hand injury. He is a construction worker and was using a table saw when he injured his left hand. The amputated part is wrapped in a plastic bag. He is right-handed. He has extensive injuries to the left hand, including amputation. What’s the next step in your evaluation and treatment?

How should you evaluate and manage the patient with spinal cord injury?

Gout is common in the ED. How can we optimize the care of these patients?

Chuck Pilcher looks at the Ottawa Ankle/Foot Rules in this month's Medical Malpractice Insights.

Journal Feed brings you updated guidelines on anticoagulation in VTE, aspirating olecranon bursitis, and a NEJM review on snake envenomation.

Why do we miss compartment syndrome, and how can we improve our diagnosis in ED? This post from Martin Yang provides you with some pearls.