These are the need-to-know EKG findings found in tricyclic antidepressant (TCA) toxicity.
Read moreSubmitted by Sumaya Mekkaoui, MD
Debating about discharging a patient from the ED with newly diagnosed PE? For her critically appraised topic, Dr. Sumaya Mekkaoui reviewed some literature on the safety of early outpatient treatment for patients with a low-risk pulomary emobolism.
Read moreSubmitted by Sumaya Mekkaoui, MD
27 year-old female with right lower quadrant pain (RLQ). Pelvic is negative and ultrasound of the RLQ is shown here, what's the diagnosis?
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The tape measure is a tool we should all consider adding to our tool belts or airway carts. Here’s why!
Read moreSubmitted by Chad Simpkins, MD
While both ocular herpes simplex and herpes zoster ophthalmicus can cause a red, painful eye, there are some important distinctions to make when diagnosing and treating each of these entities.
Read moreSubmitted by Alexis Pelletier-Bui, MD
A 55 year-old male with history of hepatic cirrhosis is brought to the ED for altered mental status. His vitals are T 100.2, HR 74, BP 113/72, SpO2 96%, RR 18. He is alert but mildly confused. He has a distended abdomen and has no abdominal tenderness but reports some vague abdominal pain. You peform a paracentesis to analyze this patient's ascitic fluid. At what ascitic fluid cell count is spontaneous bacterial peritonitis (SBP) confirmed?
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How to avoid intubation in a Sympathetic Crashing Acute Pulmonary Edema (S.C.A.P.E.) patient
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Submitted by Kara Huston, MD
Do you use tranexamic acid (TXA) for epistaxis? This week, Dr. Sarab Sodhi reviews some literature on the use of TXA in the bleeding patient while focusing on the specific question of TXA use in epistaxis.
Read moreSubmitted by Sarab Sodhi, MD
Can cheap, safe infusions of vitamins really succeed where so many hundreds of novel therapies have failed? The recent article in Chest by Dr. Paul Merik has taken the critical care world by storm, with reported mortality rates of 8.5% in patients treated with a simple vitamin C/thiamine cocktail (with none of the deaths directly attributable to sepsis). The skepticism and push-back have been nearly unprecedented, especially on #FOAMed. Whether you're a skeptic or an early adopter, you need to understand the basis for the debate by checking out this high-yield summary.
Read moreSubmitted by Richard Byrne, MD