Thu, 01/17/2019 - 9:47am

48M arrives in the passenger seat of wifes car coughing up a large amount of blood. He is very pale appearing, his pulse becomes thready and the patient starts to become unresponsive. Wife tells you he has a history of AML and is being treated with Amphotericin B for an Aspergilloma. The patient arrives to the resuscitation room in cardiac arrest. 

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Wed, 01/16/2019 - 7:00am

A 15 yo M presents to the ED with headache x 3 days.

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Mon, 01/14/2019 - 4:59pm

Check out this lateral film of the wrist. See the fracture? Look again! Surprise...there is no fracture, but this patient has sustained a serious wrist injury with the potential for long term disability. This week we highlight some of the most common missed orthopedic injuries in the ED and suggest a few strategies to minimize the errors.

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Mon, 01/14/2019 - 5:00am

You are responding to a cardiac arrest and the patient has achieved return of spontaneous circulation however his blood pressure drops to 68/40 mmHg.  You would like to use push dose epinephrine. How is this prepared?  

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Fri, 01/11/2019 - 10:14pm

Which of the following pediatric conditions is associated with intussusception? (scroll down for the answer) 

  1. Henoch-Schonlein Purpura
  2. Kawasaki Disease
  3. Testicular Torsion
  4. Immune Thrombocytopenic Purpura 
  5. Acute Appendicitis 
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Thu, 01/10/2019 - 12:25pm

Dr. Coletta discusses winter environmental emergencies at the CUH Emergency Department conference. 

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Wed, 01/09/2019 - 1:21pm

A 24 yo male presents with ankle pain




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Tue, 01/08/2019 - 4:20pm

A 25 yo male with a hx of ESRD due to membranoproliferative glomerulonephritis (MPGN) presents to the ED with complaints of swelling to his LUE, face, and neck progressive over 5 days. He was seen at another ED 2 days prior and had an ultrasound of his LUE fistula as well as a duplex of his LUE which were unremarkable.  A CT scan of the chest was ordered, revealing bilateral occluded brachiocephalic veins, which were treated in the interventional radiology suite with balloon venoplasty with resultant resolution of edema.

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Mon, 01/07/2019 - 12:59am

Clonidine is a common medication prescribed for a variety of indications in both the adult and pediatric population. It's also on the "one pill can kill" list. Read on below for a high level overview of clonidine and how to manage an overdose.

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Sat, 01/05/2019 - 9:36am

Which of the following medications is NOT associated with methemoglobinemia? (scroll down for answer) 

A) Quinines 

B) Benzocaine 

C) Sodium Nitrite 

D) Dapsone

E) Ciprofloxacin

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