“Sepsis Code to Resus 1.” Your charge nurse comes out of her office, “Doc, you know that’s the cardiac arrest patient right? They’re not febrile. Why are we ordering antibiotics?” Despite all the hoopla and controversy surrounding mandated CMS guidelines surrounding the Surviving Sepsis Campaign, there’s limited evidence that antibiotics 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…
This month’s Save of The Month goes to a repeat awardee and one of our editors, Dr. Noah Berland. We are recognizing Noah for correctly identifying the sickest patient in the room, advocating for that patient, and expediting her care. Case A middle-aged woman with a history of diabetes presented Read more…
Viral conjunctivitis accounts for almost 700,000 yearly visits to the emergency department1 and 92% of those can be attributed to adenovirus, termed Adenoviral Conjunctivitis (Ad-Cs)2. Patients may experience ocular irritation, photophobia, blurred vision, eyelid swelling, and conjunctival edema. Although the condition is generally self-limited, it is highly infectious and occasionally Read more…
This article is reposted from The American Journal of Emergency Medicine. Introduction The coronavirus disease 2019 (COVID-19) pandemic has caused a total of nearly 300,000 deaths worldwide [1]. Pediatric patients PCR-postive for SARS-CoV-2 present differently than adults with 40% either asymptomatic or with URI symptoms and commonly have pharyngeal erythema Read more…
As some of you may have heard, COVID-19 is a thing. We’ve covered it in-depth, here. Fortunately, there’s a cure. President Trump touted it himself and therefore it must be true. So good – so, so good that this will all be over by Easter. Could this be true? Let’s Read more…
Last Updated: 4/29/2020 By: Noah Berland MD, Andrea Greene MD, Suvam Neupane MD, and Julian Watson MD Reviewed By: Robert Allen MD and Monisha Dilip MD Introduction This post is meant to be an easily digestible and up-to-date article. The post is broken up into multiple parts, and we have Read more…
A 40-year-old male with a past medical history of paraplegia presents with four days of right thigh swelling. He initially noticed a small ulcer on his thigh and tried home treatments with alcohol swabs and peroxide rinses. He reports worsening swelling and pain from the area and also notes hematuria, Read more…