Pediatric Meningitis: Pearls and Pitfalls
What to know when evaluating a child with suspected meningitis
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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.
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Oncologic Emergencies Part II: Pearls and Pitfalls
Case 1: A 55 year-old male with a history of hypertension and hyperlipidemia complains of fatigue, headache, shortness of breath, and blurry vision for the past four days. His exam is normal, but laboratory results show a WBC of 155,000, with differential showing elevated blasts. Chest Xray shows the following:
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International Emergency Medicine – A Reflection on Haiti
A life-changing opportunity experiencing Haitian healthcare, providing care to patients in need, and teaching emergency medicine.
International Emergency Medicine – A Reflection on Haiti Read More »
High Altitude Pulmonary Edema: Diagnosis, Management, and Preventive Strategies
The patient with shortness of breath and cough at altitude: How can EM physicians optimize care and outcomes?
High Altitude Pulmonary Edema: Diagnosis, Management, and Preventive Strategies Read More »
Oral contrast for CT abdominal imaging
Is the use of oral contrast for abdominal CT still necessary?
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Oncologic Emergencies Part I: Pearls and Pitfalls
Case 1: A 73 year-old male presents with several weeks of cough, facial swelling, and shortness of breath. He has a history of lung cancer, actively being treated with radiation and chemotherapy. On exam, his vital signs are normal, but he has swelling of the face with a violaceous hue and elevated JVD.
Case 2: A 22 year-old female with a history of B cell lymphoma presents with nausea, vomiting, fatigue, decreased urine output, and palpitations. She has not been attending her normally scheduled cancer treatments. She is tachycardic in the 110s, and the rest of the exam is normal. Laboratory results reveal elevated phosphorus, potassium, and uric acid, with decreased calcium.
These two patients present with an emergency related to malignancy. How should you manage these patients, and what are your next steps?
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The Sphincter Series: Emergent Cricothyrotomy
The Sphincter Series Part II: Scalpel to the Neck. When, Why, How, and What you Need to Perform a Cricothryotomy.
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Antediluvian Methods? An Evidence-Based Approach to Wound Irrigation
Updates in wound care: Normal saline or tap water? What pressure do you need to use? What volume is needed? Should you irrigate clean wounds?
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