A 65 yo M with a PMhx of CHF presents to the ED complaining of abdominal pain and back pain radiating to his bilateral lower extremities since earlier in the day.
Read moreSubmitted by Loran Hatch, DO
Today's Back to Basics is a review of thyroid storm: signs & symptoms, diagnosis and treatment.
Read moreSubmitted by Loran Hatch, DO
Cases from the Coop, 65 yo presents with dyspnea ...
Read moreSubmitted by Sarab Sodhi, MD
A 1 week old male born at full term presents to the ED with difficulty breathing and a weak cry.
Read moreSubmitted by Kat Kaminski, MD
You have a patient in cardiac arrest getting high quality CPR with an initial rhythm of pulseless VT that has been defibrillated three times and received a total of 3 mg of epinephrine and a loading dose of 300 mg of amiodarone. As you continue ACLS, the patient remains in VT. Are there alternative treatments to consider?
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Submitted by Tom Sewatsky, MD
When was the last time you looked for JVD in your physical exam in the Emergency Department?
Read moreSubmitted by Alyse Volino, MD
Your quick guide to the management of bite wounds in the ED - dogs, cats, and humans - oh, my!
Read moreSubmitted by Lynn Manganiello, DO
Case: A 34 year old female with no PMHX presents to the ED with unilateral right lower extremity swelling, dyspnea, and moderate pleuritic chest pain. Vitals: BP 130/65, HR 68, RR 20, SPO2 89% on room air, Temp 37.8. A CT finds evidence of PE bilaterally at the segmental level. BNP and troponin are both mildly elevated. Point of care cardiac ultrasound shows mild RV dilation. After interviewing the patient, you don’t identify any contraindications to anticoagulation. Pregnancy testing is negative. Her renal function is normal. You consider what is the preferred agent for anticoagulation in this patient.
Read moreSubmitted by Lars-Kristofer Peterson, MD