Author: Jane Belyavskya, MD Reviewed by: Sage Wiener, MD Patient presentation A 38-year-old male with no significant past medical history presents with bilateral lower extremity weakness and lower extremity swelling for two weeks. The patient sustained a mechanical fall 10 Read more…
Written by Nivedita Poola Edited by Wesley Chan The rise in humanitarian crises including natural disasters, pandemics, or political conflicts, has taken a significant toll on global, national, and individual health around the world and demands a robust response from Read more…
Case: A 40-year-old woman with a history of CAD and prior RCA stent presents to the emergency department with chest pain for one day. Her triage vitals are BP 100/60, HR 60, T 98.7, RR 20, O2 99%. You examine Read more…
Author: Calvin Tan, MD Based on EM-CCM lecture presented by Taylor Douglas, MD Case presentation: A 55-year-old woman with past medical history of HTN and IDDM is brought in by EMS with her husband reporting that she “keeps passing Read more…
Pain is common in the emergency department (ED), representing up to 78% of presenting complaints.[1] Emergency physicians (EP) must therefore be experts in the management of pain. Right? Let’s examine how well we do. Reality Check A 2007 study examining Read more…
Author: Nicole Anthony, MD Aortic dissections are difficult to diagnose in a timely manner for a variety of reasons, chief among those being the variability in presenting symptoms from one patient to the next: “I have chest pain, and my Read more…
“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 Read more…
Author: Robby Allen, MD Answer to last week’s case: reversible cerebral vasoconstriction syndrome (RCVS). Congrats to Drs. Solger and Cerbini for getting the correct diagnosis. Who gets RCVS? RCVS occurs more commonly in women, often in the middle-aged Read more…
Case A 35-year-old female presents to the emergency department with a chief complaint of headache. She has a past medical history significant for depression, migraines, and seasonal allergies. One week ago, she delivered a healthy newborn by vaginal delivery without Read more…
Author: Shane Solger, MD & Andrea Greene, MD, MPH Reviewed by Leon Boudourakis, MD Deciding is easy. An obese patient with a flail chest needs a chest tube. You “gown up”, create your sterile field, position the patient, make Read more…
