A 42 year-old male presents with abdominal pain and fevers for 72 hours, with nausea and vomiting for 24 hours. He has a history of ESRD and has been on peritoneal dialysis for 5 years. Triage vital signs (VS): BP 105/60, HR 121, T 101.4 temporal, RR 24, SpO2 98% on room air. Pertinent physical examination findings include a tender peritoneal dialysis site and diffuse abdominal tenderness, but no erythema overlying the PD site. What’s the next step in your evaluation and treatment?

Point of care ultrasound protocols for acute heart failure are a dime a dozen these days - for good reason. Ultrasound has made this diagnosis way easier in the acute care setting. The question now is who can come up with the best protocol - something easy, accurate, and fast. These authors put their spin on the traditional heart and lungs protocol by including a measurement of the left atrial pressure. How does it hold up?

This EM Educator covers esophageal perforation.

Pain out of proportion is usually a bad sign. This Medical Malpractice Insights from Dr. Pilcher looks at acute compartment syndrome.

When should you suspect obstructive uropathy, and what is the evaluation and management?

Clay brings you the game changing TTM2 RCT, US vs. CXR for PTX, and metronidazole and neurologic adverse events.

Check out this amazing podcast on nuances of priapism and urinary retention!

What is QRS fragmentation, and what does it mean?