This is a co-post between The POCUS Atlas and The Original Kings of County. We shared our images and overlaid color for a comprehensive review of anatomy and how to perform point-of-care ultrasound for appendicitis. Author: Dr. Miguel Martinez Romo, with Read more…
In 2015, the Centers for Medicare and Medicaid Services (CMS) adopted SEP-1, a controversial sepsis quality metric drawn from the Surviving Sepsis Campaign (SSC) guidelines. Extensive focus on guideline evidence, covered well elsewhere, leaves out the details surrounding the process Read more…
It’s the end of a long shift in the ED, and you are daydreaming about the cold alcoholic beverage waiting for you to start off your golden weekend, when the nurse comes up to you and states there is a Read more…
There are fewer patients that I appreciate more than the ones that come in with a list of their home medications. A quick scan through the list is helpful, as it provides insight into the severity of the patient’s medical Read more…
Smruti Desai, DO/MPH It is one of your last shifts as an intern, and after a year of wondering if you will get any taller, you finally have the elusive factor known as a linear thought process. You confidently Read more…
It’s 2:00 am in the Main ED and you’re racing to get caught up on the board when a nurse comes to notify you about a patient who is still waiting to be seen. A quick glance at the triage Read more…
How does one get a nail bed injury? Distal phalanx injuries are the most common hand injury, particularly in children. These are often due to crush injuries also resulting in subungual hematomas and nail bed lacerations. If a subungual hematoma Read more…
by Sana Kathawala, MD MBA It’s a quiet day in the ED. You’re twiddling your thumbs wondering whether you should get a second cup of coffee to keep awake when the notification phone rings. “68-year-old male with history of diabetes, Read more…
by Peter Tepler, MD A 40-year-old woman comes to the hospital by taxi. After reporting severe headache, the triage nurse notices that she is garbling her words and immediately takes her to the stroke assessment area and grabs you. Her Read more…
It’s intern year and you’re on nights in the MICU. You’re always a little bit out of your element when not in the ED. Tonight you get sign out on an older lady with afib and CHF presenting for AMS, Read more…
