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ToxCard: Diphenhydramine Toxicity

The ToxCard series returns with diphenhydramine toxicity.

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    Articles

    • FOAMED, intern report

    Intern Report Collection

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    To kick off your weekend reading pleasure, here’s another batch of our monthly excellent write-ups from the EM interns at UT Southwestern (@DallasEMed) courtesy of Alex Koyfman (@EMHighAK) . Our ongoing intern report series is the product of first-year residents exploring clinical questions they have found to be particularly intriguing,
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    • practice updates

    Pediatric Back Pain

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    Pediatric patient with back pain? Those of us who take care of adults also know all too well the complaint of Back Pain and are comfortable looking for the Red Flags of serious etiologies of that complaint. Back pain in the pediatric ED is definitely not as prevalent as the
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    Abdominal Aortic Aneurysm: Clinical Highlights/Updates

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    Latest and greatest on AAA
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    • FOAMED, practice updates

    EM Care of the Obese Patient: Pearls & Pitfalls

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    As the obesity epidemic continues to rise, we must be equipped to deal with the challenges that these patients bring to the emergency department. Dr. Mallemat discusses the pearls & pitfalls of the obese patient in EM, as well as some useful tips & tricks.
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    • clinical cases, FOAMED, practice updates

    The Febrile HIV Patient

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    In the febrile HIV patient, there are many diagnostic dilemmas and potential life-threatening disease processes which make the diagnosis and treatment difficult. When approaching these patients, it is useful to separate complications into organ systems and then try to estimate the patient's immune status if it is not known.
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    • practice updates

    Osteomyelitis in Kids

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    Another tasty Ped EM Morsel to complement last week's adult osteomyelitis post by Ben Cooper. Thanks to Sean M. Fox, MD (@PedEMMorsels) for this great post!
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    Acute heart failure exacerbation disposition

    Not all patients require admission

     

    Consider patient hemodynamics, respiratory status, ECG, labs (Cr, troponin, sodium/electrolytes), ability to ambulate, follow up

     

    Elevated troponin and serum Cr associated with worse outcomes

     

    Don’t use risk tools alone for DC, but Ottawa Heart Failure Risk Scale may assist in admission (ACEP Level B)

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