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 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 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 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 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 Read more…
Author: Nicole Anthony, MD Editor: Alec Feuerbach, MD A few years ago, I had a patient, a young woman, who had just immigrated to New York from Libya. She had left her family behind, and her only contact in New 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 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 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 Read more…
