With the rise in popularity of the NOAC class of anticoagulants, more and more patients with a new diagnosis of pulmonary embolism are being discharged from the emergency department. Multiple risk classifications tools have been developed to help identify patients at low risk of short term mortality. Read on to see if this new study determined which tool is the winner!
Read moreSubmitted by Louis Argentine MD
A 28-year old male with no past medical history presents with ches tpain for 2 days. The pain is pressure-like in the center of his ches tand worse with deep inspiration. He states he just got over a cold but denies recent fever or cough. An EKG is obtained. What is the diagnosis?
Read moreSubmitted by Katie Selman, MD
A 40 year old man presents via ambulance after he was found stumbling around a park on a hot summer day. He is mumbling, not responding to questions appropriately, and very disoriented. His skin is dry and hot to touch. Rectal temperature is 106.1 F.
Read moreSubmitted by John Cafaro MD
A 45 yo female presents to the ED with abdominal pain.
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Submitted by Loran Hatch, DO
Treatment of diabetic ketoacidosis in the emergency department includes aggressive volume repletion and administration of insulin, however it is also extremely important to address electrolyte abnormalities…
Read moreSubmitted by Louis Argentine MD
Need a refersher for the FDP vs. FDS? Read on for a quick review.
Read moreSubmitted by Loran Hatch, DO
A 30 year old mechanic presents for a right lower leg injury. He was working on his car when it fell on his right leg. Urinanalysis reveals dark urine with a dipstick positive for large mount of blood. Serum CK is 28,000 units/L. The primary treatment modality is:
Read moreSubmitted by John Cafaro MD
Recommend against reversal of LMWH in patients receiving prophylactic dosing of LMWH.
Low quality of evidence for the use of FFP or PCC to reverse LMWH.
Protamine:
Read moreSubmitted by Reid Phillips MD
A 67 yo M w/ a PMHx of IVDU presents to the ED w/ chest pain and fever of 101.5. His initial HR is 135. A CXR is obtained and he is started on broad spectrum antibiotics.
Read moreSubmitted by Katie Selman, MD