A 41 yo male is brought in by EMS after self inflicted stab wounds to the neck and chest. As the patient is transferred to the ED stretcher, you frantically try to recall the initial priorities in the management of this potentially deadly injury....
Read moreSubmitted by Karen O'Brien, DO
Everyone has seen the long list of causes of an anion gap metabolic acidosis. Why review it again? Because one day, whether in real life (or on your board exams...), thinking through this list will help make a tricky diagnosis. It is 'back to basics,' after all!
Read moreSubmitted by Lynn Manganiello, DO
Physiologic alarms in the ED frequently sound without any meaningful change in patient management. Understanding the effects of unnactionable alarms and their consequences is vital for the EM physician.
Read moreSubmitted by Lars-Kristofer Peterson, MD
Is Low Dose Ketamine Comparable to Morphine in Providing Acute Pain Relief in Adults in the Emergency Department?
Read moreSubmitted by Amanda Curry, MD
A 55 yo M presents to the ED after being struck by a motor vehicle.
Read moreSubmitted by Loran Hatch, DO
We encounter patients with upper GI bleeding frequently. While some of these are obviously ill and in need of urgent intervention and/or admission, others appear well and we might consider sending them home - but how do we decide who is low risk enough to discharge? Is there an evidence based approach to risk stratify patients with upper GI bleeds?
Read moreSubmitted by Anil Reddy, MD
A 48-year-old man presents to the Emergency Department by ambulance after patient was found to be unresponsive in his care.
Read moreSubmitted by Vicki Parikh, MD
You are called to the bedside of a mechanically ventilated patient for an alarm that is being triggered on the ventilator. In red and blinking you see “Airway pressure high.” What’s your next move?
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Submitted by Tom Sewatsky, MD