In 2013, the FDA approved a new class of anti-diabetic medications called sodium-glucose cotransporter-2 (SGLT2) inhibitors. Insulin and metformin remain as preferred first-line agents for type-1 diabetes (T1D) and type-2 diabetes (T2D), respectively.1 However, due to their novel mechanism of Read more…
When compared to IO access at the proximal tibia site, IO access at the humeral site may provide five times the flow rate. Positioning (3 options): 1. Place the patient’s arm in adduction and internal rotation with the hand resting Read more…
It’s getting hot so cool off with another brain-crunching case, presented by the industrious COtM crew: The patient is a 47 year-old man with PMHx of CAD s/p CABG in 2014, HTN, dyslipidemia, and hypothyroidism who presents with chest Read more…
Guess what? It’s an election year! You are excited. And nervous. And kind of sick of the nonstop new coverage. In fact, you are having palpitations watching these candidates gore out each others’ figurative hearts and roast them over a Read more…
Post a comment or answer one of the questions below and not only help your peers, but get asynchronous credit! OK, here’s the case! 78 year-old woman with atrial fibrillation presents with chest pain; her HR is 145, ECG shows the rhythm Read more…
Opioids are a mainstay of ED therapy and also a common culprit in iatrogenic medication errors. In most cases involving such errors, the patient’s presenting medical complaint was not life-threatening; however, the opioid administration led to a near-fatal event. These errors Read more…
Nominated by: Dr. Wiener This month we would like to congratulate the one and only DR. ADAM BLUMENBERG for a great save!! A disheveled patient was placed in the hallway complaining of weakness and was labeled “ETOH, vomiting.” Our amazing resident, Read more…
by Aditi Jayanth A 4 month-old boy presents to ED with new “strange body movements.” His grandmother first noticed this behavior 2 weeks ago. His arms and legs would be held in a flexed position, lasting 1 to 2 seconds Read more…
Dr. Kim gets the win by default with his response. So how do we go about approaching this patient? In summary: 38 year-old man h/o EtOH abuse with acute epigastric pain and blood-tinged vomiting. Blood testing show the start Read more…
April Fools Morning report (4/1/16) 3 case topics that will FOOL you Case 11 A 45 year-old man presented to the hospital with chest pain and dyspnea. Exam was unremarkable. ECG showed T-wave inversions in leads II, III, aVF, V1-V4, Read more…
