Journal Feed Weekly Wrap-Up
Journal Feed brings you 4 articles covering MOUD, TNK 4.5 to 24 hours after stroke, LVO stroke predictors, and penetrating trauma support.
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FOAMed
emDOCs Podcast – Episode 130: Interstitial Lung Disease Part 2
Today we’re back with Part 2 on management of AE-ILD exacerbations.
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EM@3AM: Upper Extremity DVT
A 54-year-old woman presents with right arm swelling, heaviness, and dull discomfort. She recently underwent chemotherapy via a peripherally inserted central catheter (PICC) placed two weeks ago on her right side for newly diagnosed breast cancer. She denies fever, chest pain, or shortness of breath. On exam, her right upper extremity is visibly swollen from the mid-bicep to the shoulder with mild erythema, increased warmth, and prominent, dilated superficial veins across the upper arm and chest wall. A tender, palpable cord is noted over the medial aspect of the upper arm. Radial and ulnar pulses are intact, and there are no signs of infection or fluctuance around the PICC site.
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Journal Feed Weekly Wrap-Up
Journal Feed brings you presyncope outcomes, pediatric appendicitis non-operative management, and POCUS for pneumothorax.
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emDOCs Podcast – Episode 129: Interstitial Lung Disease Part 1
Today on the emDOCs cast we cover interstitial lung disease and exacerbations. In Part 1, we’ll look at background, presentation, and the ED evaluation.
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EM@3AM: Catheter Associated Urinary Tract Infection
A 72-year-old male with BPH and HTN presents from a subacute rehab facility for altered mental status and fever. He has had a Foley catheter in place for the past 10 days following hospitalization for hip fracture repair. Vital signs include BP 92/68, HR 110, T 103F rectally, RR 17, SpO2 98% on RA. Foley catheter is in place with cloudy urine in the Foley bag. Ultrasound demonstrated a non-distended bladder with Foley balloon in good position. UA from old Foley: >10 WBC per HPF. UA + Culture from new Foley: >10 WBC per HPF. What is the likely diagnosis?
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Journal Feed Weekly Wrap-Up
Journal Feed covers vasopressors after cardiac arrest, furosemide affect on BP in HF, the two-bag method in DKA, and IM epinephrine dosing in anaphylaxis
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emDOCs Videocast: EBM Update – Hemothorax Management
Today we focus on management of hemothorax, specifically tube thoracostomy size and irrigation following tube placement.
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EM@3AM: Hypokalemia
A 55-year-old male with history of recently diagnosed HFrEF, DM, HTN presents with progressive generalized weakness and intermittent palpitations over the past two weeks that worsened over the past two days when he developed non-bloody, non-bilious vomiting and non-bloody diarrhea. He has been taking his daily medications as prescribed which include metformin, metoprolol, and furosemide. EKG reveals NSR with flattened T waves, prominent U waves, and prolonged QTc.
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US Probe: Left Ventricular Ejection Fraction Semi-Quantitative Estimation
How can you estimate LV function using ultrasound?
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