Which aortic dissections need surgery? Although it is not the ED team’s decision whether to take a patient with dissection to the OR, it is vitally important for us to be familiar with the indications, so we can effectively advocate for our patients as needed. Management of aortic dissections differs Read more…
The use of whole body CT (WBCT) – or “pan scan” – in trauma is an often debated topic in the emergency department (ED). The poly-consult setting of trauma involves multiple services that rapidly evaluate and treat a patient. With improved protocols, higher resolution imaging, and closer proximity of CT Read more…
It’s another day at your local university hospital. You’re nearing the end of your shift and wrapping up your cases. Your mind is already starting to wander with thoughts of what you’ll do on vacation. Suddenly, you hear some commotion stir through the ED — TRAUMA CODE to the hospital Read more…
Case: A 77 year-old male h/o asthma, HTN, HLD, recently diagnosed CML presents with pain to recent bone marrow biopsy site and right lower extremity pain such that he cannot walk since last night. He also c/o nausea with few episodes of NBNB vomiting. He was prescribed imatinib but has not started Read more…
44 year-old female presents to the emergency department with 3 days of nausea, vomiting, and diarrhea. She complains of mild epigastric pain but 8/10 pain to the left lower quadrant. Pain is non-radiating and described as a sharp, stabbing, and intermittent. There have been 3 episodes of non-bloody, non-bilious vomiting Read more…
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’ Well’s criteria and get to work. You pull up her Read more…
58 year-old man presents with chest pain: 1) What is the diagnosis and management? 2) What is the patient’s prognosis?
In summary, you have a 40 year old woman presenting with neuro complaint and a scary looking head CT scan. Click HERE for the original post.
It’s Saturday, the start of the weekend, and you go see your first patient, a 40 year-old woman whose chief complaint is “I can’t feel my face.” On further questioning, she tells you that the symptom started that morning when she awoke, and it’s never happened before. Her only history is Read more…
Congratulations to ablumenberg! While your answer wasn’t complete, you were the only one to submit an answer, so, you win money (or a gift card)! To recap: An 88 yo M on aspirin and PLAVIX is BIBEMS for headache and vomiting the day after falling out of his chair and bumping his Read more…