Author: Rabani Bharara, MD Editor: Philippe Ayres, MD I: Case An 86-year-old female with a past medical history of diabetes mellitus, hypertension, and dyslipidemia presents to the ED for asymptomatic bradycardia identified in the geriatric clinic. The patient was transferred to the ED. She appeared well-nourished and in no acute Read more…
Author: Aaron S. Conway, MD Resident Editor: Philippe Ayres, MD Guest Faculty Editor: James Willis, MD This is a continuation of Part I III. Institutional Ethics Healthcare institutions may also have their own value system based on creational intent, funding sources, academic affiliation, and services offered. Religiously oriented, non-profit, and safety net hospitals are Read more…
Author: Aaron S. Conway, MD Resident Editor: Philippe Ayres, MD Guest Faculty Editor: James Willis, MD It’s nearly midnight in your busy urban emergency department (ED). As the senior resident, you just received sign-out from the day team on eight patients in addition to keeping up with new patients. Read more…
Case Author: Ryan Pang, MD Editor: Philippe Ayres, MD A 72-year-old male with a past medical history of hypertension, diabetes, and hyperlipidemia presents to the ED with 3 months of chronic, progressively worsening swelling of his left arm. He also reports an inability to move his left arm and Read more…
Author: Esteban Davila, MD and Dante Robinson, MD Editor: Esteban Davila, MD Case: A 77-year-old male with a history of hypertension and diabetes is brought into the ED by EMS after being found unresponsive. According to the patient’s daughter, the patient had been growing weak and complaining of pain on Read more…
Author: Philippe Ayres, MD Editor: Galina Udod, MD Case: A 33-year-old female presents to an ED after being extracted from a car that was in a front-end collision with a truck. On primary survey, the patient opens her eyes spontaneously and squeezes her hands and moans to command. The patient Read more…
Author: Esteban DavilaPeer Editor: Alec FeuerbachIllustrations: Vincent Xiao This is a continuation of Part 1.Key Initial StepsABCs and Supportive CareLike any other resuscitation, attention should be primarily towards assessing the ABCs. Patients with impaired awareness, airway secretions, aspiration, worsening respiratory distress, or status epilepticus may require intubation.[1] However, attempts to aggressively Read more…
Author: Esteban Davila Peer Editor: Alec Feuerbach The Case You’re having a relatively quiet morning when you hear EMS bringing in a patient. The patient is an 18-year-old male who collapsed on the route of a half marathon. You reflect that this day is particularly warm and humid. EMS reports Read more…
Co-authors: Taylor Murtaugh MD, Esteban Davila MD We’re back after a short hiatus for part 2. You can find part 1 here. The Case Continued History and Physical When suspecting hypertrophic cardiomyopathy (HCM), the history should focus on overall fitness as well as adverse responses to exertion such as chest pain, Read more…
Co-authors: Taylor Murtaugh MD, Esteban Davila MDThe CaseA 59-year-old male with a past medical history of hypertension, hyperlipidemia, and gastroesophageal reflux disease was brought in by EMS to the ED with severe chest pain. EMS administered 324 mg of aspirin. The patient endorsed left-sided chest pain while ambulating with associated Read more…