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Sepsis in pregnancy… Uh oh. How do you optimize your care of the pregnant patient with sepsis? What do you need to consider?

In Part One of this two-part series, we discussed re-emerging infectious threats that may creep into our EDs initially unnoticed.
We continue from Part One with the rest of the dreaded thirteen, from varicella through meningococcus

Adult myocarditis… This condition can be difficult to diagnose and manage. Read on for pearls and pitfalls for evaluating and treating myocarditis.

Welcome to this week’s edition of EMin5 by Dr. Anna Pickens. Today we take a look at Lemierre’s Syndrome.

A 31-year-old male presents for headache for the past 72 hours. He has a history of tension headaches, but confirms that this headache feels different. He has a history of HIV/AIDS and is noncompliant with medications. His last known CD4 count one month prior was 200. He appears confused and is febrile. Neurologic exam reveals motor deficit of RUE and RLE. What’s your next step?

Most bacterial infections just need time and some antibiotics, but what infections require surgical intervention?

Welcome back to the 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. This week we discuss sepsis in various scenarios.

UTI is a common condition managed in the ED. What mistakes can you make with the urinalysis and urine dipstick? Is a urine culture needed for every patient?

This month’s Medical Malpractice Insights from Dr. Pilcher evaluates a tough case where potential over-simplification was harmful. Risks factors can significantly change your evaluation and management.

A 58-year-old morbidly obese female patient with uncontrolled diabetes and peripheral arterial disease presents with an open wound to the central plantar aspect of her foot. She reports no pain, does not recall an injury, and is not sure how long she has had the ulcer. On exam, there is a 3.5 cm circular wound with thick yellow material in the center, and the edges of the wound are pink and warm to the touch. What is the diagnosis, and what are your next steps?