Consider a case: a 38 year-old male presents to the ED after intentional ingesion of multiple objects, which include razor blades, a fork and other sharp objects. Vital signs are stable, he has no abdominal tenderness, and an x-ray reveals several foreign bodies in the stomach that appear consistent with sharp objects, with no free air under the diaphragm. How do you approach this scenario and other similar cases?
Read moreSubmitted by Julia Moon, MD
Dr. Perelman, M.D., discusses two papers on Procainamide vs. Amiodarone in the setting of stable Ventricular Tachycardia.
Read moreSubmitted by Sarah Perelman M.D.
A 60 yo F w/ a history of breast cancer presents to the ED with progressively worsening SOB over the past week.
Read moreSubmitted by Loran Hatch, DO
A 55 year old female is brought in by EMS in marked respiratory distress. "BP is pretty high doc" the medic notes as you enter the room. Read on for a discussion of how to master treatment of this common, but frightening disease process...
Read moreSubmitted by Eric Hasbun, MD
A full discusison of pediatric burns would involve management of ABCs, calculation of body surface area burned and the intricacies of different calculations, fluid management, pain control, and finally disposition. For this, read a full chapter and several articles on burn management and resuscitation - here we have a quick rundown of what patients require transfer to burn center and/or admission vs which might be able to be discharged home.
Read moreSubmitted by Roger Rothenberg, MD
Dr. Leary, D.O., discusses how to interpret the EKG in a patient who presents with syncope.
Read moreSubmitted by Sean Leary, D.O.
72 yo M w/ PMHx of HTN, HLD, CKD (not on dialysis), DM and CAD presents to the ED with scrotal pain x 1 week. He is concerned that he has an "abcess" and wanted to be checked. A CT is done and shown below. What's the diagnosis? (scroll down for answer)
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Submitted by Eric Chavis, MD
A 31 yo male presents after assault. Walking into the room, you immediately notice marked edema around his left eye. He also seems restless and agitated and is pulling away from staff attempting to obtain vital signs and obtain IV access. Read on for pearls regarding this patient's vision threatening injury!
Read moreSubmitted by Abagayle Renko M.D.
Finger lacerations/injuries are common in the Emergency Department and obtaining adequate analgesia for repair is important. Here we review the basics of digital nerve blocks as well as two common techniques.
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