Selected Toxicologic Bradycardias
The tox patient with low HR. What could you be missing, and what can be done better?
Selected Toxicologic Bradycardias Read More »
Critical Asthma Patient: Pearls/Pitfalls of Management
You’ve tried your normal asthma treatment pathway, and the patient looks worse… What’s next?
Critical Asthma Patient: Pearls/Pitfalls of Management Read More »
The Pediatric Airway: Pearls and Pitfalls
A great review of managing the pediatric airway with tips on initial assessment, physiology, and equipment.
The Pediatric Airway: Pearls and Pitfalls Read More »
Missed Myocardial Infarction in the Emergency Department
Two cases, where patients return with crushing chest pain to a different ED, and both patients’ ECGs show ST elevation with reciprocal changes.
What was missed on the first visit? Could the initial ED physician have done anything differently?
Missed Myocardial Infarction in the Emergency Department Read More »
Handy Knowledge: subtle and high-risk hand injuries
A great review of hand injuries EM providers shouldn’t miss. How do you diagnose and manage flexor tenosynovitis, compartment syndrome, and UCL disruption?
Handy Knowledge: subtle and high-risk hand injuries Read More »
Syncope: The Latest on Clinical Work-up and Management
A focused update with pearls in the management of syncope.
Syncope: The Latest on Clinical Work-up and Management Read More »
Psoas Abscess: Pearls and Pitfalls
Pearls for the management of the difficult-to-diagnose psoas abscess.
Psoas Abscess: Pearls and Pitfalls Read More »
Pediatric Meningitis: Pearls and Pitfalls
What to know when evaluating a child with suspected meningitis
Pediatric Meningitis: Pearls and Pitfalls Read More »
The sepsis patient not improving after IV fluids and resuscitation: What should be considered? How can we improve?
You are in the midst of caring for a 62 year-old male who is tachycardic with HR 120, BP 88/42, T 101.2 oF, RR 26, and SpO2 98%. He was brought in by EMS for fever and myalgias, and with one look at his vital signs, he triggered the protocol for SIRS.
Your initial exam showed similar vital signs, with dry mucous membranes but otherwise normal HEENT exam, clear lungs, normal mental status, nontender abdomen, normal skin and genitourinary exams, and normal extremities/back. Due to his vital signs and SIRS criteria, you were concerned and ordered CBC, RFP, LFT, lactate, blood cultures, urinalysis/culture, and chest xray. You started 1 L NS, and his VS did not improve.
Pediatric Stroke: EM-focused highlights
Updates in the ED diagnosis and management of pediatric stroke.
Pediatric Stroke: EM-focused highlights Read More »