A 42 year-old female presents with HTN, DM, and obesity 4 days of abdominal pain. The pain is worsened by eating and associated with nausea; her vitals are within normal limits and she is afebrile. What's the diagnosis?
Submitted by Lauren Murphy, MD
You are intubating a sick patient in the ED via direct laryngoscopy. After opening the airway, sweeping the tongue with your blade, inserting into the vallecula, and lifting at the precisely correct angle your eyes behold....well...not the vocal cords! Maybe the arytenoid cartilages if you're lucky (aka Cormack Lehane 3 or 4 view). But wait, you aren't finished yet! You reach into your back pocket and remove your trusty bougie...
Read moreSubmitted by Samuel Eldrich, MD
25-35% of patients with chronic liver disease with experience variceal bleeding. Today we provide high-yield pearls in the evaluation and acute management of this common ED complaint.
Read moreSubmitted by Eric Gruber, MD
- A high yield review of clinical pearls from the Cooper EM Residency Weekly conference! This month's module is Ortho/Trauma, led by Dr. Andrew Nyce and Dr. Richard Byrne
Submitted by Richard Byrne, MD
Case: A 15 year old girl flipped while snowboarding and landed on her right arm. She complains of severe right wrist pain. A plain film of the wrist is obtained:
Read moreSubmitted by Sarab Sodhi, MD
Independently interpreting plain film imaging is an essential skill for the Emergency Medicine provider. Among the most notorious of injuries likely to be missed is the Maisonneuve fracture. In this post we demonstrate the "can't miss" imaging findings to ensure that you don't make the mistake of thinking this is "just an ankle sprain!"
Read moreSubmitted by Richard Byrne, MD
The post introduces the basics behind that diagnosis we learned in medical school: pill esophagitis.
Read moreSubmitted by Joseph Cesarine, MD
To reduce a subluxed radial head: hold the child's elbow at 90 degrees, supinate at the wrist, and flex at the elbow. If this is unsuccessful, try the hyperpronation technique.
Read moreSubmitted by Joseph Cesarine, MD
While most patients presenting to the Emergency Department live in the immediate region surrounding the hospital, modern day travel allows patients to have recent exposures from the far reaches of the globe.
Read moreSubmitted by Joseph Cesarine, MD
As the treatment of malignancy evolves, the number patients who are receiving active chemotherapy presenting to the Emergency Department is increasing. Many of these patients present with respiratory chief complaints ranging from mild dyspnea to acute respiratory distress. This post aims to introduce chemotherapy-induced pulmonary toxicity and review those chemotherapuetic agents that commonly affect the lungs.
Read moreSubmitted by Joseph Cesarine, MD