When should you consider blunt cerebrovascular injury, and what’s the evaluation and management?
Blunt Cerebrovascular Injury: ED Presentations, Evaluation, and Management Read More »
A 67-year-old female with a history of CHF and CKD was brought in by ambulance from her nursing home for a gastrointestinal bleed. The patient’s total fluid balance from her nursing home was 2.5L over the past 24 hours. Her point of care hemoglobin is 4 g/dL and a transfusion of 2U pRBC and 1 FFP was initiated, though within approximately 1 hour of starting the transfusion, the patient became acutely short of breath and stated she was having severe difficulty breathing. What’s the next step in your evaluation and treatment?
EM@3AM: Transfusion Associated Circulatory Overload Read More »
Thank you for everything you do! We bring you the top posts from this last year.
Top emDocs Posts of 2020 Read More »
The EM Thinker series is back with high yield considerations for your next shift.
EM Thinker: Pearls from the Frontlines Read More »
Necrotizing pancreatitis can present with critical illness. This post looks at the ED evaluation and management.
Necrotizing Pancreatitis: ED Presentation, Evaluation, and Management Read More »
Walid Malki covers acute chest syndrome in this Visual Wednesday.
Visual Wednesdays: Acute Chest Syndrome Read More »
How should you manage the patient with cocaine and ST segment changes on ECG?
ECG Pointers: Cocaine and ST Elevation Read More »
Welcome to a new series from Walid Malki that provides focused EM updates with infographics. Today Walid covers LVADs.
Visual Wednesdays: LVADs in the ED Read More »
What do we need to consider when evaluating and treating suspected decompensated hypothyroidism?
Decompensated Hypothyroidism: Why do we miss it, and how do we improve? Read More »
A 42-year-old female with a past medical history of iron deficiency anemia presents to the ED with a peritonsillar abscess. You give 2 benzocaine sprays and successfully aspirate the abscess. As she is waiting for her discharge paperwork, the nurse alerts you that her oxygen saturation is now in the mid-80s. Repeat vitals in the room are as follows: BP 102/78, HR 102, O2 85%, RR 24. She has perioral cyanosis that was not seen on your initial exam. What is the diagnosis and best next step?
EM@3AM: Methemoglobinemia Read More »
