This week we had a great wilderness meeting during which Dr. Hinds talked about insect repellents. This is a really important topic if you are going to visit one of the regions of the world where infectious agents such as Malaria Read more…
It’s a beautiful night in the ED in 1986. Bad fashion is in, EM docs are still cowboys who heal the world, and yours truly is about to be born. Most importantly, Michael Jackson is performing in your city Read more…
It’s a busy night shift when a nurse alerts you to an elderly patient sent from a nursing home who is hypotensive, tachycardic, tachypneic, febrile, altered, and appears dehydrated. You assume sepsis, send labs, begin treating empirically with broad spectrum antibiotics, and Read more…
If your NCAA bracket is already busted, here is your first chance this spring to win yet another COtM. Take a look at the situation below: A 38 year-old man with a history of EtOH abuse presents with epigastric pain Read more…
The Case 58 year-old man with history of mitral valve prolapse presents with 4 days of intermittent palpitations, lightheadedness, and shortness of breath. The symptoms resolve spontaneously. He denies any illicit substance use. Vital signs on arrival: T 97.5F, HR Read more…
A 60 year-old aging death metal uber-fan walks into the ED crying, saying that he just tried to commit suicide. When you inquire further, he tells you that he is still sad about Iron Maiden breaking up. He hasn’t been the same since Read more…
The Case: 38 year-old-male no PMH presents with severe RUQ pain for 1 day with nausea and nonbloody/nonbilious vomiting but no diarrhea. No history of abdominal surgeries. BP 155/103 HR 61 RR 18 Sp02 100% on room air temp 97F. On physical exam Read more…
By: Mj Jo It begins as a routine case of food poisoning. An otherwise healthy 16 year-old girl is rolled into your ED with vomiting, diarrhea and dizziness after eating a home cooked fish meal. Her 47 year-old mother Read more…
Eden Kim gets the nod for last month’s COtM answer not only for getting the correct diagnosis, but also expanding his discussion with a very solid differential diagnosis list. Congrats Dr. Kim! Here is a one-line summary of the Read more…
By: Yonatan Yohannes, MD Abdominal Compartment Syndrome Who: The critically ill. Most commonly in shock, burn patients, polytrauma patients. What: Primary -> abdominopelvic disease/injury: trauma, pancreatitis, surgery, etc. Secondary -> conditions originating elsewhere: sepsis, burns When: Normal IAP Read more…