A 56 year old male comes to the ED via EMS after noting progressive dyspnea and fever. In the field, the EMS team notes the patient is hypoxic with an SPO2 of 85%. Despite the low oxygen saturation, he is only using minimal accessory muscles and he is alert and oriented. His chest X-ray shows a right lobar pneumonia and he is requiring 6LNC oxygen to maintain a saturation greater than 90%. You know there is significant guideline evidence to support the use of non-invasive positive pressure ventilation (NIPPV) for COPD and CHF exacerbations, but what about patients with other causes of hypoxia such as pneumonia?
Read moreSubmitted by Lars-Kristofer Peterson, MD
A 14 yo F with no past medical history presents to the ED after acute onset of headache, nausea/vomiting and change in mental status.
Read moreSubmitted by Eric Chavis, MD
A healthy 23 yo male presents after injuring his knee playing soccer. He is complaining of inability to completely extend his knee. "It's stuck." he reports to the triage nurse. "That seems like a problem..." you think to yourself as you enter the room. How did this happen? How do I unstick his knee? Read on for some quick pearls on the "locked knee."
Read moreSubmitted by Karen O'Brien, DO
Last week, we covered the components of the slit lamp. This week, we're reviewing how to perform the slit lamp exam.
Read moreSubmitted by Alexis Pelletier-Bui, MD
,Submitted by Anil Reddy, MD
,Submitted by Morgan Oskutis, MD
A 50-year-old man requires intubation for encephalopathy. His urine output is > 400 cc/hr and serum Na returns at 179 mEq/L. What is the most likely cause of his polyuria?
Read moreSubmitted by Amanda Curry, MD
A 65 yo male presents with left foot pain
Read moreSubmitted by Sydney Tabaac, MD
Do you feel like you pour your heart, soul, blood, sweat, and tears into your fracture/reductions and still come up short? Does the orthopedics consultant always want to "re-do" your attempt? Here is a repost of a podcast interview between former Cooper EM resident Patrick Sheehan, former Cooper Orthopedics Resident Joseph Legatol on how to get a perfect reduction. Inside the interview are 5 tips on positioning yourself for success. Also included is a video of Dr. Sheehan giving an example of "exaggerating the injury" of a distal radius fracture for a more successful reduction.
Read moreSubmitted by Patrick Sheehan, MD
Do you avoid the slit lamp at all costs because it intimidates you? Start getting comfortable with the components of the Weiss SL 120 Slit Lamp in this guide.
Read moreSubmitted by Alexis Pelletier-Bui, MD
,Submitted by Anil Reddy, MD
,Submitted by Morgan Oskutis, MD