Hypercalcemic crisis

Fri, 09/11/2020 - 2:00am

A 52-year-old woman with a history of hypertension sustained a large left frontoparietal intracerebral hemorrhage resulting in right-sided flaccid paralysis complicated by acute respiratory failure status post tracheostomy for prolonged mechanical ventilation. She is transferred to the step-down intensive care unit for ventilator weaning. Serum calcium level returns elevated at 11.3 mg/dL with a serum albumin level of 2.8 g/dL. What is the most likely cause of her hypercalcemia and how should it be managed?

Submitted by Emily Damuth, MD

#EMConf: Carbon Monoxide Poisoning

Thu, 09/10/2020 - 6:00am

Dr. Murphy discusses some Carbon Monoxide pearls.

Submitted by Emily Murphy, MD

What's the diagnosis? By Dr. Katie Nowlan

Wed, 09/09/2020 - 8:37am

A 16 month old brought in for wheeze and cough

Mon, 09/07/2020 - 9:35am

Happy Labor Day from your friends at Cooper Emergency Medicine - we'll return with all new content tomorrow!

Submitted by Alexis Pelletier-Bui, MD

Board Review:

Sat, 09/05/2020 - 6:20pm

A four year old f

Submitted by Kat Kaminski, MD

Pressors and Fluids - Not either/or but both/and

Fri, 09/04/2020 - 3:00am

It's a typical day in the ED. You are asked to see your next patient who is a 60 year old male, recently discharged from the hospital after being treated for cellulitis presenting with abdominal pain and diarrhea. He’s tachycardic and hypotensive to 75/40. The patient is mentating well. After taking a more thorough history your differential diagnosis narrows in on intra-abdominal sepsis associated with significant volume losses. The lactate returns at 6. On volume assessment by physical exam and POCUS, the patient is significantly volume down. You know that getting the antibiotics and fluids on board is the cornerstone of treatment, but they will take some time to be given. You wonder if you should temporize your resuscitation with pressors during the time it takes for the fluids and antibiotics to be administered.

Submitted by Lars-Kristofer Peterson, MD

#EMConf: Serotonin Syndrome

Thu, 09/03/2020 - 7:00am

Dr. Volino discusses Serotonin Syndrome

Submitted by Alyse Volino, MD

What's the Diagnosis? By Dr. Rebecca Fieles

Wed, 09/02/2020 - 3:00pm

A 44 yo M presents to the ED w/ L foot and ankle pain. He was running and stepped into a hole, stating he heard a "crack". He has been unable to bear weight since the injury. On exam, he has swelling and marked bony tenderness of both the lateral and medial malleoli and heel.

Tue, 09/01/2020 - 5:11am

You are called to the trauma bay to evaluate an 18 yo male involved in an MVC. Your nurse tells you that he seems ok but keeps repeating himself. You wonder what injuries you should be concerned for and what your diagnostic approach should be as you enter the patient's room.....

Submitted by Alyse Volino, MD

Back-to-Basics: Ectopic Pregnancy

Mon, 08/31/2020 - 5:00am

A few quick basics and pearls about ectopic pregnancy in the ED