Category: Uncategorized

Abscess Obsession

You’re working a peds shift when a concerned pair of parents brings their three year old child in with a swollen, red, warm bump on his forearm. They first noticed it yesterday, and it has progressively gotten larger. He’s not…

Dr. Wilhelm Frederick von Ludwig

  46 year-old female with diabetes presents for sore throat and facial swelling for the past 3 – 4 days. Patient states she’s been experiencing difficulty with chewing due to pain. The patient also endorses tactile fevers. On exam, you notice multiple…

Discharge that pneumo!

Last month we discussed the use of needle aspiration as an alternative to placing a traditional large-bore chest tube in patients with spontaneous pneumothoraces. One of the selling points of using these less invasive methods is that they decrease the amount…

Pregnant with a PE: What to do

A young woman presents to your ED with shortness of breath and pleuritic chest pain. She states she got off a long plane flight from the Philippines. She is mildly tachycardic. OK, you think, let’s just whip out the ol’…

This is a Drill

It’s a quiet night in CCT, and you receive a notification from EMS about an elderly, tachycardic and hypotensive patient. When the patient arrives, her airway is intact, and she is altered. EMS was unable to obtain IV access in…

Sepsis 3.0 in the ED

Sepsis is no longer defined as SIRS + a suspected source but rather “life-threatening organ dysfunction due to a dysregulated host response to infection”. This is according to the new guidelines released by the Sepsis-3 task force in 2016. By…