Category Name: FOAMED

EM MINDSET

One Physician's Advice to the New Grad

To the Class of 2015 – Congratulations!! You’ve made it. After at least 11 years of post-high school education, you have finally reached that proverbial finish line and are ready to transition from resident to attending. What I would like to share with you is some advice about what life is li...

FOAMED

Outpatient Treatment of Pulmonary Embolism

A 64 year-old woman with past medical history of diabetes mellitus type 2 that is well-controlled on insulin, hypertension, and asthma presents with 1 week of shortness of breath and cough productive of blood-tinged sputum. The shortness of breath became suddenly worse about an hour ago as she was w...

FOAMED

The Emergency Medicine Approach to Vasculitides

A 25 year-old female is suddenly rolled back in a wheelchair into your resuscitation area. As you walk into the room, you see a pale, ashen lady with a diffuse red rash holding an emesis basin between her legs filled with a mixture of sputum and blood. You glance up to the monitor as your nurse plac...

EM MINDSET

The Art of Decision Making: Emergency Medicine Style

It’s 3pm on a Monday after a holiday. The department is bustling, and you feel like there are patients crammed into every conceivable space. Alarms are going off on patient monitors. You’re in the midst of discussing a case with a resident when a nurse puts an ECG in front of you to review an...

FOAMED

Vascular Causes of Syncope

These three patients presented with syncope as part of their respective histories, despite suffering from different pathologies. Syncope is a transient loss of consciousness with rapid recovery to baseline. Each history is concerning for a vascular etiology. In the ED we are focused on risk stratify...