A 61 yo F w/ a history of schizophrenia presents to the ED w/R middle finger pain.
Read moreSubmitted by Michael Tom, MD
You are treating a patient for diabetic ketoacidosis in the ED. Thing is, the patient isn't very ill and only has mild DKA (pH 7.25-7.3). Is starting a continuous insulin infusion and admitting the patient to an intensive care unit bed really the best use of resources? Read on for an alternative suggested regimen using subcutanoues doses of rapid acting insulin
Read moreSubmitted by Richard Byrne, MD
In 2010, there were approximately 535,000 ED visits for foreign bodies. Approximately 80-90% of ingested foreign bodies pass through the GI tract without complications while the rest require intervention. What are some basics that you need to know about foreign bodies that ingested, aspirated and inserted?
Read moreSubmitted by Alexis Pelletier-Bui, MD
Weekly board review question on the topic of hypothyroidism
Read moreSubmitted by Chad Simpkins, MD
Dr. Sarab Sodhi discusses some of the new literature for vfib cardiac arrest.
Read moreSubmitted by Sarab Sodhi, MD
For decades now, aggressive fluid replacement in pediatric DKA patients has been thought to contribute to cerebral edema and neurologic injury. This has resulted in a general policy of cautious fluid replacement with isotonic crystalloid, and perhaps even contributed to under-resuscitation of these patients. In this first large, randomized, prospective study to examine the role of type of fluid (0.9% NaCl vs 0.45% NaCl) and rate of administration, the hope was to detemine if type of fluid, rate of adminstration, or both were associated with cerebral edema and neurologic injury in this patient population. Read on for the key results of this practice changing paper!
Read moreSubmitted by Richard Byrne, MD
A quick visual summary of forearm fracture-dislocations
Read moreSubmitted by Alexis Pelletier-Bui, MD
