#FOAMcc

Journal Feed covers potassium and the risk of VF/VT, PECARN pediatric fever rules, and U-POCUS to exclude ureterolithiasis.

A 43-year-old male presents with swelling to the right armpit. He also endorses a small wound to his right forearm, fatigue, mild muscle aches, and low-grade fever. On exam he has right axillary lymphadenopathy and a small, non-tender, slightly raised erythematous lesion to the right forearm with no overt evidence of extensive cellulitis. The patient states that he was playing with the neighborhood cat a little over a week ago. He believes the cat bit him on the arm before running off. What is the diagnosis?

Today we start a series on EBM updates for intubation. In Part 1 we cover predicting difficult BVM/intubation/cricothryotomy, physiologic factors associated with peri-intubation decompensation, preoxygenation, and apneic oxygenation.

Journal Feed brings you nerve blocks and peds nurse US.

The EM Thinker returns with 10 pearls.

Journal Feed covers ICH in elderly ground level falls, IN midazolam for pediatric sedation, and the 2025 AHA/ACC hypertension guidelines.

A previously healthy 32-year-old male presents to the ED via EMS following a high-speed motor vehicle collision on the interstate. The lower part of his abdomen hit the steering wheel. He reports significant pain in the perineum and groin. He has the urge to urinate but is unsure if he is able to. Vital Signs on arrival to the ED: HR 110, RR 18, blood pressure of 120/80, temperature (oral) of 99.1F, with an oxygen saturation of 99% on room air. On secondary survey, the patient has mild diffuse lower abdominal tenderness. His pelvis is stable.  There is no testicular swelling or pain; however, you observe blood at the urethral meatus.

Medical Malpractice Insights covers a case of missed PE.

We’re back with Part 2 on upper GI bleeding.  Today we cover endoscopy, other interventions for bleeding cessation, intubation, and risk scores.

Journal Feed covers antibiotics for cirrhotics with upper GI bleed, ondansetron for discharged pediatric patients, and the STANDING algorithm for vertigo.