Looking for some practical opioid pearls for your clinical practice? This week Dr. Eric Gruber continued the Cooper EM generated Substance Abuse Curriculum, focusing on opioid toxicities and overdose complications.
Read moreSubmitted by Eric Gruber, MD
27yoF presents with two-weeks of intermittent fevers and abdominal pain. Pulse is 111, 122/72, respiratory rate 16, 100.2F. She has a mass with palpation of her left lower quadrant with a smooth contour and mild tenderness to palpation in that area. The CT is here, what’s the diagnosis?
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Oncological patients are at risk of developing several complications including life threatening infections. We often first worry about neutropenic fever in these patients. However, there are other oncological emergencies with which the emergency medicine physician needs to be familiar.
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Submitted by Anita Bhamidipati, MD
Ever wonder where the the current American Heart Association and American Stroke Association (AHA/ASA) guidelines for thrombolysis in acute ischemic stroke come from? Included is a summary of the landmark studies that have contributed to these recommendations (NINDS& ECASS III) as well as a review of IST-3.
Read moreSubmitted by Sumaya Mekkaoui, MD
A 45 year old male with known history of depression presents to the Emergency Department after a relative called EMS for concern for intentional overdose.
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How do you safely disposition your low-risk chest pain patients? This week for his Critically Appraised Topic, Dr. Michael Coletta investigated the safety and accuracy of accelerated diagnostic protocols for low-risk chest pain patients presenting to the ED.
Read moreSubmitted by Michael Coletta, MD
60-year old male with a PMHx intractable hiccups presented with a chief complaint of left neck pain due to foreign body protruding from his neck. He had a device placed subcutaneosly several yeras ago for intractable hiccups, what's the diagnosis?
Delivering a baby in the emergency department is far from ideal and although all usually goes well, you need to be prepared in case it doesn’t. Shoulder dystocia gets a lot of hype because of those fancy corkscrew maneuvers, so instead of that we’re going to talk about another dreaded complication, post-partum hemorrhage.
Read moreSubmitted by Patrick Sheehan, MD