Author: Kenny Chao, MD Editor: Nicole Anthony, MD Ring ring. Notification: “Trach’d patient in respiratory distress.” Check your patient board: chief complaint of a small bleed from the tracheostomy tube that has since stopped. Pre-COVID, roughly 110,000 tracheostomies were performed yearly in the United States. Of those, only half survive Read more…
Courtesy of Dr. Johnson Case 1: A 4-year-old presents to the pediatric ED with 4 days of fevers, sore throat, and decreased PO intake. The patient’s older sister recently had a sore throat with fever and was diagnosed with strep throat based on culture. On examination, the patient is febrile Read more…
Reviewed By Dr James Willis Edited By Noah Berland This Post is based on Teaching Shifts from the following residents: Drs. Noah Berland, Priscilla Chao, and Hope Taitt Case 1: A 38-year-old female with PMH of HTN, DM presents after assault with blunt maxillofacial trauma. No LOC. The primary survey Read more…
Written by Rosy Hao, MD Edited by Wesley Chan MD This post was inspired by a post originally in ALiEM [1]. This post aims to demystify amoxicillin treatment for common pediatric infections and look at the evidence behind antibiotic use in some pediatric infections. What is the evidence behind antibiotic Read more…
Author: Robby Allen, MD Edited by: Eden Kim MD, Roshanak Benabbas MD Acknowledgments: Michael Lucchesi MD, Aleksandr Gleyzer MD Our “EM controversies” lecture series continued with a faculty showdown: Dr. Lucchesi versus Dr. Gleyzer. Watch the debate here. Their Challenge? Antibiotics for nasal packing. What does the evidence say? Read more…
EM-CCM Presentation Review 09/16/2020 Authors: Keesandra Agenor MD, John Riggins Jr MD Edited by: Raymond Beyda MD, Eden Kim DO Case A 74-year-old male with PMH of hypertension and dyslipidemia presents to the ED with acute tongue swelling, neck swelling, and changes in his voice that started the prior evening. Read more…
A patient presents with anterior uveitis. You have so many questions. What is the uvea? The uvea is the term for the iris, ciliary body and choroid. The anterior uvea consists of the iris and ciliary body, while the posterior uvea is the choroid. Hence, anterior uveitis is also Read more…
Over the Memorial Day weekend, I was so bored I binge watched the Rocky anthology. My favorite movie of the anthology is Rocky IV, not just because of the way he boxed, but mostly because he may have single-handedly ended the Cold War with this speech. Who knew that many Read more…
It’s always a balancing act of knowing when to eat on shift. You’re hypoglycemic, but you just saw a patient with gastroenteritis. You’ve got to wash your hands and grab a quick snack before you syncopize or get gastro! On a particularly busy shift, I was starting to see spots Read more…
Case: 44 year-old female gets wheeled into the critical care area in respiratory distress. Through gasping breaths of inspiratory stridor, she says this started one hour ago while at home, mentioning she was getting “aggravated” with her husband. Her husband endorses that this has happened before in similar situations. She Read more…