A 18-year-old male presents with chest pain and shortness of breath for several days. Approximately one week prior he was suffering from myalgia, congestion, sore throat, and fever and was diagnosed with an upper respiratory infection. Today his vitals are HR 132, RR 28, BP 92/48, T 37.8 C, and Sats 95% on RA. What should you consider, and what are your next steps?
EM@3AM: Myocarditis Read More »
Welcome to this week’s EM Educator Series. These posts provide brief mini-cases followed by key questions to consider while working. The featured questions provide important learning points for those working with you, as well as vital items to consider in the evaluation and management of the specific condition discussed. Today…Syncope!
The EM Educator Series: Why does my patient keep passing out? Read More »
Welcome back to Quality Corner, a series that evaluates tough cases with potential areas for improvement. This month’s Quality Corner covers cases involving perianal/perirectal abscess and pneumomediastinum.
Quality Corner: Perianal and perirectal abscess; Pneumomediastinum Read More »
For this week’s EM Collective wisdom, we have one of the legends of Emergency Medicine: Judith Tintinalli. Her experiences and perspectives will inspire you to excel.
EM Collective Wisdom: Judith E. Tintinalli Read More »
Welcome back to Part II of the series on vasopressors. Part I discussed basic guidelines for pressor use, in addition to specific literature regarding “inopressors” (norepinephrine, epinephrine, and dobutamine). Part II will discuss “pure inotropes” (dobutamine and milrinone) and “pure vasopressors” (vasopressin and phenylephrine).
An Evidence-Based Approach to Pressors in Shock: Part II Read More »
A 62-year-old female patient presents with dysuria and frequency. You quickly order a urine dipstick. What do you need to consider when interpreting the urine dipstick/urinalysis?
EM@3AM: Urinalysis/Urine Dipstick Components Read More »
This month’s Medical Malpractice Insights from Dr. Pilcher looks at the importance of documenting before and after procedures, especially neurologic function.
Medical Malpractice Insights: Ligate only the artery, not a perfectly good nerve Read More »
Advanced Trauma Life Support (ATLS) was created to improve evaluation and management of traumatic injuries. Unfortunately, the literature often outpaces guidelines. This 10th edition provides several important updates for clinicians managing trauma.
Are you ready for the ATLS 10th Edition Updates? Read More »
Welcome back to the EM Collective Wisdom series. This series asks star emergency physicians key questions concerning their successes, failures, and impact in EM. Today we have thoughts from Dr. Compton Broders.
Emergency Medicine Collective Wisdom: Compton Broders Read More »
A 44-year-old female comes to the ED with left lower extremity swelling. The patient notes increased swelling and discoloration to her entire left leg for three days, associated with aching pain. In a patient without any risk factors for thrombus or any other medical reason for hypercoagulability, what could cause an unprovoked left lower extremity thrombus?
A Case of Rare Cause of DVT in the Young, Healthy Patient Read More »
