A 2 yo male presents refusing to bear weight on his right leg. There is no known trauma. Parents report he is very active and playful with older siblings. He has focal tenderness over the distal tibia. No fever and no pain with range of motion at the hip. What's the diagnosis?Read more
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 more
Submitted by Richard Byrne, MD
Asthma is one of the most common causes of respiratory distress seen in the emergency department. Most often, our patients will get better with some nebulizers and steroids. But when this fails, treatment becomes more complicated and patients can decompensate quickly. What are your options to step up therapy in your most severe asthma cases?Read more
Submitted by Loran Hatch, DO
Your patient is seizing, your benzo didn't work, what's next?
Knowing your action plan for a patient in status epilepticus is crucial. Preparation = success! Review this chart until you've got a 1st, 2nd & 3rd line medication, with doses, always ready in your mind. If you've got this down already, how about for pediatrics?Read more
Submitted by Kristen Adorno, MD