A 72-year-old man develops generalized tonic-clonic activity at home. He receives lorazepam 4 mg intravenously during the 7-minute transport to the ED. He continues to have witnessed convulsions on your examination. Point-of-care glucose is normal. After supporting his airway, breathing and circulation, what medication should be administered second line for status epilepticus (SE)? 

Submitted by Emily Damuth, MD

A 66 yo with right foot pain

Submitted by Katie Selman, MD

You've diagnosed your patient with a PE! Now what?

Blood thinners? tPA? Other options?

Let's review some of the basics of PE management in the ED.

Submitted by Kristen Adorno, MD

EMS brings in a 67 year old male in a PEA arrest. ROSC is obtained after twenty minutes of downtime. He was intubated by EMS during transport. A colleague talks to the family and she lets you know that he was complaining of shortness of breath and chest pain for an hour before he had a witnessed cardiac arrest and that his PMH includes HLD and HTN. The respiratory therapist is asking for the ventilator settings.

Submitted by Tom Sewatsky, MD