A 2 year old boy is brought to the Emergency Department after a drowning event. Bystanders noted the child was underwater for 1 minute but was quickly pulled from the bottom of the pool, he coughed and vomited. On arrival, he is aware and alert and behaving appropriately per parents.
Read moreSubmitted by John Cafaro MD
Did you miss ResusEM2? Well, don't fret...for the next 24 hours watch the livestream of the sold out conference hosted by Cooper EM and the EM Daily
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Dr. Dunisha Ranasuriya, MD discusses drowning.
Read moreSubmitted by John Cafaro MD
A 63 yo F w/ a history of colon cancer, prior PE (on lovenox) presents to the ED for a "mass" on her back x 3 days. The area has increased in size and become more painful. She denies trauma. She is well appearing and hemodynamically stable.
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A 38 y.o male presents with complaint of extremity pain. During your examination and differential, you become concerned for necrotizing fasciitis. Here are some clinical pearls!
Read moreSubmitted by Louis Argentine MD
Summer and the hot weather isn't over just yet! Read on for the common heat emergencies that you may still be seeing in your ED.
Read moreSubmitted by Loran Hatch, DO
A 30 year-old female presents altered and minimally responsive. She was found next to an empty bottle of Valproic Acid. Her blood pressure is 130/80, heart rate is 90, afebrile and without tachypnea or hypoxia. You stabilize her. Depakote level is 550. What is the treatment of the choice?
Read moreSubmitted by John Cafaro MD
Civil Law:
- A dispute between two parties.
- Burden of proof is based on a "preponderance of evidence".
- Punishment is monetary without threat for incarceration.
Criminal Law:
Read moreSubmitted by John Cafaro MD
A 50 yo F with a history of poor dentition presents to the ED with fever and cough productive of yellow sputum x 2 weeks.
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- A 50 yo male presents with severe fatigue, tactile temps, chills, fatigue, and dizziness for one week. The family also notes yellowing of his skin. T is 102.3 oral. His labs demonstrate a Hgb of 8.8, platelets of 141, and TBili of 1.6 with a normal direct bili. Cr is noted to be elevated at 1.42 with a normal baseline. What is going on with this patient and whom should we call?
Submitted by Richard Byrne, MD