A 52-year-old male with a history of severe liver disease, cirrhosis, and hepatitis C presents with altered mental status. His vital signs are normal, and he displays asterixis on exam, with otherwise normal neurologic exam. His ECG, head CT, and labs are normal. What should you consider, and what are your next steps?
EM@3AM: Hepatic Encephalopathy Read More »
Struggle with audio lectures? Is art your release? We at emDocs.net would like to introduce you to Dr. Katelyn Hanson, a current EM/IM resident. She is the originator of Hanson’s Anatomy.
Hanson’s Anatomy – where the art of procrastination meets the study of medicine Read More »
Corticosteroids attenuate local and systemic inflammatory responses. Are they ready for routine use in community acquired pneumonia? This post delves into the literature.
Corticosteroids for Pneumonia: Ready for Primetime? Read More »
A 57-year-old female presents with right sided headache and mild fever (100.8 F). You note an enlarged, tender temporal artery with beading on exam. She denies vision changes. What is the diagnosis, and what are your next steps?
EM@3AM: Giant Cell/Temporal Arteritis Read More »
NSAIDs, acetaminophen, steroids, triptans, antidopaminergics, oxygen, IV fluids, diphenhydramine… What’s in your “headache cocktail”? This emDocs post looks at the evidence behind treatment of headaches in the ED.
emDocs Cases: Headache Management in the ED Read More »
A 26-year-old female presents with fevers and chills. She is febrile and tachycardic, with normal BP. You think you hear a murmur on exam, and on further questioning, she says she regularly uses IV drugs. What should you consider, and what are your next steps?
EM@3AM: Endocarditis Read More »
A 63-year-old female presents with nausea, vomiting, and altered mental status. Initial VS demonstrate BP 225/121, HR 88, 98% RA, T 98F, RR 18. What are your next steps?
EM@3AM: Hypertensive Emergency Read More »
A 23-year-old male is brought in by EMS with agitation. His VS include T 41 C, HR 133, BP 182/115, RR 26, D stick 118. EMS is concerned for ingestion, and the patient is not cooperative. What’s your next step?
EM@3AM – Hyperthermia Read More »
A 42-year-old male is brought in by EMS with ventricular fibrillation. You are finally able to obtain ROSC, though the patient remains comatose. What are your next steps? This week’s EM@3AM covers post cardiac arrest care.
EM@3AM: Post Cardiac Arrest Care Read More »
A 42-year-old female presents with altered mental status after being found outside. She is bradycardic and hypotensive, and your normal thermometer reads “Error”. You ask for a core monitor, which provides a reading of 27C.
EM@3AM – Hypothermia Read More »
