ECG Pointers: Pain Free but Not Worry Free
What should you be worried about with the patient who is now chest pain free but has biphasic T waves in V2 and V3?
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Journal Feed Weekly Wrap-Up
Journal Feed covers CAP antibiotics, MAP goals in elderly patients with septic shock, and a decision rule for head CT.
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US Probe: Assessing Venous Congestion – The VExUS Approach
What is the VExUS Approach to evaluating for venous congestion?
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ECG Pointers: Well, it seems as though your colon is trying to kill your coronaries
Dr. Tannenbaum covers a case of GI bleed and ST segment changes.
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emDOCs Podcast – Episode 121: Ebola Virus Disease
Jess Pelletier and Brit Long cover Ebola: when should you suspect this, what is the evaluation, and what is the treatment?
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EM@3AM: Inflammatory Bowel Disease
A 24-year-old male with no past medical history presents with several days of oral ulcers and throat pain. He also notes multiple months of diarrhea and hematochezia. He has lost roughly 30 lbs over the preceding 6 months. He has normal vital signs but appears malnourished, with a weight of 48 kg. He has dry oral mucous membranes, abdomen is diffusely tender, and he has ulcers on the uvula and soft palate. Labs reveal anemia, leukocytosis, electrolyte abnormalities, and elevated inflammatory markers. What is the diagnosis?
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Severe Malaria: ED Presentation, Evaluation, and Management
Today we cover severe malaria and what you need to know.
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Journal Feed Weekly Wrap-Up
Journal Feed covers migraine cocktails, Holter monitoring after syncope, findings in pediatric septic arthritis, and supplemental oxygen during pediatric sedation.
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EM@3AM: Systematic Approach to Massive Hemorrhage and Nuances in Special Patient Populations
A 32-year-old female presents with chief complaint of “abdominal pain”. Her pain started 8 hours ago and became severe within the last 30 minutes. Initial vitals demonstrate a blood pressure of 88/48 mm Hg, HR 122 bpm, Temp 36.4 C, and 20 respirations/min. On your physical exam she has tenderness to palpation in the left lower pelvic region with rebound tenderness. You note her hypotension and perform RUSH exam. During your exam you note free fluid in the rectouterine pouch. As you finish your exam, she is now pale, clammy, and minimally responsive to pain with repeat blood pressure 64/33 mm Hg. What is the systematic approach to a patient with signs of massive hemorrhage?