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…
PART I – Cyanide Poisoning (aka “Doc, it hurts right here” *points to mitochondria*) Authors: Trevor Cerbini, MD; Alec Feuerbach, MD, Peer reviewers: Nic Anthony, MD; Wesley Chan, MD Faculty reviewer: Sage Wiener, MD From apple seeds to false teeth, Tylenol, and cigarettes, salad bars to kool-aid, cyanide is 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 out”. The patient is noted to have an episode of 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 right side doesn’t work” or “I have abdominal cramping and 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 surrounding the Surviving Sepsis Campaign, there’s limited evidence that antibiotics Read more…
Author: Molly Piccione, DO The Case: An older woman with PMH of ESRD is found unresponsive by her home health aide. On arrival to the Emergency Department (ED), the patient’s BP is 173/111 mm Hg, HR 109/min, RR 30/min, and SpO2 92% on room air. She is responsive only Read more…
Written by: Taylor Douglas, M.D. You are the single provider in a rural Emergency Department, taking care of an unstable bradycardic patient. You are successfully pacing your patient transcutaneously, and now it’s time to get them a more definitive and comfortable method of pacing before they are transferred for cardiology Read more…
Written by Matthew Behrens MD Reviewed by Sage Wiener MD Case: A 31-year-old man was brought in by EMS after passing out while getting off the bus. Prehospital vitals were: HR 145/min BP 97/53 mm Hg RR 16/min SpO2 96% on 15L NRB Blood Glucose 141 mg/dL EMS placed Read more…
Author: Taylor Conrad Edited by: Eden Kim, Taylor Douglas, Robby Allen What is EBM? Evidenced-Based Medicine (EBM) is an important part of all medical disciplines and has been integral throughout the development of Emergency Medicine. According to the Agency for Healthcare and Research Quality (AHRQ) at the Department of Health Read more…
Author: Taylor Douglas, Raymond Beyda Edited by: Robby Allen You’re on a tough CCT shift, and you’ve just walked your junior resident through a complicated intubation, and she was successful. You’re congratulating yourselves behind the desk while ordering the confirmatory chest x-ray when the nurse comes to you and Read more…