Co-authors: Balal Aslam MD, Esteban Davila MD Edited by: Alec Feuerbach MD Case: An 82-year-old female with a past medical history of diabetes and hypertension presented to the ED after a syncopal episode. The patient stated that she was walking to the shower when she felt weak, had a “strange Read more…
Author: Jamie Pospishil, MDEditor: Philippe Ayres, MD; Esteban Davila, MDCase:A 68-year-old male with a past medical history of hypertension, insulin-dependent diabetes, and dyslipidemia presents to the ED with chest pain that is intermittent, sharp, “stabbing”, lasting up to one minute at a time, and occurring several times over the past Read more…
Authors: Esteban Davila, MD and Ian S. deSouza, MD Background Ketamine has many known cardiovascular properties both on the myocardium and the autonomic nervous system through central sympathetic stimulation and inhibition of catecholamine reuptake. The ketamine-induced hyperadrenergic state causes transient elevations in heart rate and blood pressure.[1] We present a Read more…
Author: Rachelle Modeste, MD Editors: Alec Feuerbach, MD and Philippe Ayres, MD Faculty Editor: Anastasios Drenis, MD Why so Blue, Baby? Part I – County EM (clinicalmonster.com) Initial Evaluation: Now that we have described each of the cyanotic congenital heart defects (CHD), let’s jump back to the bedside. Read more…
Author: Philippe Ayres, MD Editor: Esteban Davila, MD Case: A 65-year-old male with a past medical history of hypertension, insulin-dependent diabetes, hyperlipidemia, and coronary artery disease was brought to the ED by EMS as a “STEMI notification”. He reported 5 days of malaise, myalgias, fevers, chills and two days Read more…
Author: Shane Solger MD Peer Editor: Nicole Anthony MD, Alec Feuerbach MD As emergency physicians, we pride ourselves on being resourceful, but communicating with patients in a language they understand should not require the same “MacGyver” skillset as “creative ways to remove a foreign body from the ear.” As discussed Read more…
Author: Esteban Davila Editor: Alec Feuerbach The Case An 18-year-old male without past medical history presented to the ED with one day of fever, headache, and left-sided chest pain starting 4 hours prior to arrival. The patient described the chest pain as achy, non-radiating, and worse with deep inspiration and Read more…
Co-authors: Paul Lavadera and Esteban Davila Peer Editor: Alec Feuerbach Faculty Editor: Mark Silverberg The Case A 65-year-old male with a history of hypertension, hyperlipidemia, diabetes, hypertrophic cardiomyopathy, recent stroke, and atrial fibrillation (AF) (+anticoagulation) presented to the ED for syncope. EMS noted a wide-complex tachycardia. EMS administered 150 mg Read more…
Author: Ryan Walsh, MD Editor: Nicole Anthony, MD THE CASE A 33-year-old woman with unspecified developmental delay is brought to the ED after her friend called EMS for a wellness check and for poor living conditions. There is no collateral information available and the friend (the patient’s only listed contact) Read more…
