A 20-year-old male college student arrives by ambulance restrained in a stretcher. Members of his fraternity called the police saying he became violent and agitated after “burning incense”. He is hypertensive and tachycardic with a normal blood glucose. What is the diagnosis, and what are your next steps?
EM@3AM: Synthetic Cannabinoid Intoxication Read More »
A 50-year-old male with uncontrolled diabetes presents with pain and swelling in his right foot. He does not recall any injury to the foot or leg. On exam, crepitus is noted on the foot and ankle. What is the diagnosis, and what are your next steps?
EM@3AM: Necrotizing Fasciitis Read More »
A 26-year-old male groundskeeper is sharpening a rusty lawnmower blade without eye protection when he feels a sudden pain and loss of vision in his right eye. What is the diagnosis, and what are your next steps?
EM@3AM: Open Globe Injury Read More »
A patient walks into your ED with a shirt covered in blood. He’s actively vomiting. Your triage nurses quickly get him into a wheelchair and roll him back to one of your critical care booths. You have little time to act to stabilize this critically ill patient. What are your next steps?
An 18-year-old male has been found unresponsive in a house fire with severe burns. VS in the field include T 37.5C, BP 144/77, HR 110, RR 15, Pulse Ox 98% on RA. You have minutes to prepare your team to care for this patient. What’s your next step in evaluation and treatment?
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 »
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 »
