We will continue our focus on thyroid emergencies. Thryoid storm is a life threatening decompensation of thyrotoxicosis with the classic presenting triad of hyperthermia, altered mental status and sympathetic surge. This is largely a clinical diagnosis and timely, accurate treatment is essential. Read ahead for the treatment regimen and pay particular attention to the ORDER of medications!
Read moreSubmitted by John Cafaro MD
You are resuscitating a septic patient in the emergency department and are about to click on the order for a fluid bolus. You are confronted with several options for isotonic crystalloid including normal saline, lactated ringer's, and something called "Plasma-Lyte A." A New England Journal article, hot off of the presses, will almost certainly influence this decision in the coming months and years. Read on for a synopsis of this certain-to-be controversial paper.
Read moreSubmitted by Richard Byrne, MD
A 92 yo female presents to the ED complaining left eye pain and bleeding, onset this am. Patient has hx of left corneal transplant in 2014. Patient with no vision in eye, also unable to differentiate light vs dark.
Read moreSubmitted by Loran Hatch, DO
Cardioversion in arrhythmias? When is it required..
Read moreSubmitted by John Cafaro MD
Do you know how to mix up push-dose epi? ....if you keep reading, you soon will!
Read moreSubmitted by Louis Argentine MD
This week our Chairman, Dr. Chansky, talked about endocrine emergencies. Read ahead for a high yield summary on myxedema coma, a can't miss diagnosis!
Read moreSubmitted by John Cafaro MD
A 20 yo F presents to the ED following a restrained driver MVC where she struck a tree.
Read moreSubmitted by Sarab Sodhi, MD