EM physicians see patients with headaches every day in the ED. The vast majority have a simple primary headache, but a tiny fraction of patients will have a much more serious etiology that might result in death, blindeness, or crippling neurologic complications if not promptly diagnosed. The trick, of course, is picking up on the serious causes of headaches...Read more
Submitted by Sandhya Ashokkumar, MD
Admittedly not so much a “basic” concept, but this does bring me back to textbooks and medical school. Having seen this recently in a real patient, thought it was useful to review. Highlights the importance of a good medication reconciliation!
MAOI + tyramine tyramine reaction hypertensive urgency/emergencyRead more
Submitted by Alison Jaworski, MD
A 69 year old man is brought in by EMS with complaints of chest pain. ALS noted pt to be in sinus bradycardia in the 30s en route. As you approach the room you wrack your brain: what are the common causes of bradycardia? More importantly - will I get to actually perform a transvenous pacemaker i.e. the most highly sought after procedure as an emergency medicine resident?Read more
Submitted by Richard Byrne, MD