A 62 y.o. male sustains an out of hospital cardiac arrest with prolonged CPR and eventual ROSC. A CT scan of the brain is obtained. What's the diagnosis? (scroll down for answer)
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You evaluate a patient complaining of acute onset of dyspnea with hypotension and hypoxia. You immediately consider the diagnosis of acute massive pulmonary embolism, but despite your best efforts can't get good cardiac windows on bedside ultrasound. Should you administer thrombolytics? Heparin? Send the shocky patient for a CT? Today Dr. Simpkins goes through the steps to perform 2-point compression ultrasound of the lower extremity to evaluate for DVT, an easy and rapid bedside test that may allow for indrect but more rapid diagnosis of acute, massive pulmonary embolism.
Read moreSubmitted by Chad Simpkins, MD
It is understood that chronic conditions such as hypertension, coronary artery disease, heart failure, hypertrophic cardiomyopathy, and valvular disease (just to name a few) are risk factors for the development of atrial fibrillation. However, in the ED it is important that we are aware of the acute triggers of atrial fibrillation, some of which are associated with significant morbidity and mortality.
Read moreSubmitted by Blake Siglock, MD
A 63 year old male presents to the ED with his wife after she noticed progressive change in behavior and yellowing of his skin over the last 2 days. The wife reports the patient has been havin abdominal pain.
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Looking for a quick review of side effects to frequently used antibiotics? This week, Dr. Sam Eldrich discussed potential complications from commonly used antibiotics used in the ED. So think twice before subscribing that antibiotic....
Read moreSubmitted by Samuel Eldrich, MD
5 steps to Managing Acute Chest Syndrome in adult population
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Submitted by Louis Argentine MD
Master placement of surgical chest tubes with these simple tips and tricks.
Read moreSubmitted by Katherine Moore, MD
54 year-old male with a known peanut allergy presents with anaphylaxis after accidental peanut ingestion....find out what happens next!
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Are you a graduating senior resident? Looking for some great advice as you transition to independent practice? This week, four of our recent graduates, Drs. Smolar, Wilsey, Beck and Jablow, returned to provide words of wisdom about their first year out.
Read moreSubmitted by Andrew Nyce, MD