#FOAMcc

A 35-year-old male presents with left eye pain and vision loss after an unwitnessed altercation. On exam, there is significant left periorbital edema and ecchymosis; the left eye appears mildly proptotic. He is unable to open the eye unassisted due to swelling and pain. His left eye has conjunctival injection, chemosis, and a dilated pupil, which is non-reactive to direct light but constricts in response to light shone in the contralateral eye. The patient is unable to participate in extraocular testing secondary to pain and distress. Intraocular pressures are 18 on the right, 42 on the left.

Journal Feed covers prehospital whole blood, crying infants, and sodium bicarbonate for in-hospital cardiac arrest.

Pediatric emergencies are challenging. The Critical Kids series provides summaries of hot-off-the-press guidelines and evidence to support your decisions at the bedside. Today we cover the PRoMPT trial.

A 95-year-old man presents after waking with sudden inability to move the fingers and thumb of his right hand. He can lift his arm, flex and extend his wrist normally, and reports intact sensation. He denies numbness, facial droop, dysarthria, headache, gait disturbance, chest pain, or dyspnea. He has 0/5 strength in finger flexion and extension as well as in the intrinsic hand musculature, with preserved proximal upper extremity strength and intact sensation. He has no other appreciable deficits and normal vital signs. What is the diagnosis?

Today on the emDOCs cast we cover Part 1 on post bariatric surgery complications, with a look at the individual surgeries and an approach.

Journal Feed covers pediatric seizure treatment, BB and CCB overdose management, and EVT for medium vessel strokes.

Today on the emDOCs cast we cover the potentially deadly infected ureterolithiasis. 

A 34-year-old male presents to the ED about 30 minutes after he slipped on ice while shoveling snow at his house.  He currently has a superficial abrasion approximately 6 X 6 cm to his posterior scalp without any laceration present that could be closed with sutures. The abrasion is profusely bleeding. What is the next best strategy for managing this patient?