How do you safely disposition your low-risk chest pain patients? This week for his Critically Appraised Topic, Dr. Michael Coletta investigated the safety and accuracy of accelerated diagnostic protocols for low-risk chest pain patients presenting to the ED.Read more
Submitted by Michael Coletta, MD
60-year old male with a PMHx intractable hiccups presented with a chief complaint of left neck pain due to foreign body protruding from his neck. He had a device placed subcutaneosly several yeras ago for intractable hiccups, what's the diagnosis?
Delivering a baby in the emergency department is far from ideal and although all usually goes well, you need to be prepared in case it doesn’t. Shoulder dystocia gets a lot of hype because of those fancy corkscrew maneuvers, so instead of that we’re going to talk about another dreaded complication, post-partum hemorrhage.Read more
Submitted by Patrick Sheehan, MD
Acetaminophen (Tylenol, Paracetamol, APAP) is a commonly used analgesic and antipyretic agent found in many over the counter and prescription medications. It is one of the most common toxic exposures responsible for an estimated 450 deaths annually in the United States, and it is the most common cause of acute liver failure in the United States.
Submitted by Lindsey Glaspey, DO
Check out this great post from Dr. Michelle Lin from ALiEM about ABEM Oral Board Preparation including a video series from the University of Maryland Department of Emergency Medicine!Read more
Patient suffered an assault to the face. What's the diagnosis?Read more
Pericardiocentesis is a rarely performed, but potentially life-saving procedure. Commerical models are prohibitively expensive, but students and residents (and critical care fellows) still need to learn the mechanics, ideally with an ultrasound compatibile model. This week's post gives a step by step guide towards making a cheap, easy to fabricate phantom based on this fantastic paper published in the Journal of Emergency Medicne 2012: https://www.ncbi.nlm.nih.gov/pubmed/21925818Read more
Submitted by Richard Byrne, MD
Chvostek’s sign is momentary contraction of the nose and/or lips in response to tapping the facial nerve at the angle of the jaw. Associated with hypocalcemia, it has been found to be poorly sensitive and specific. It is seen in 10-25% of healthy individuals with normal calcium levels, whereas approximately one third of patients with hypocalcemia will not demonstrate this sign.Read more
Submitted by Lauren Murphy, MD