Which is better for the brain injured patient, mannitol or hypertonic saline?
Read moreSubmitted by Kara Huston, MD
Do you routinely recommend rest for your post-concussive pediatric patient? You may reconsider this adivce. This week Dr. Lou Argentine reviewed this clincal question for his critically appraised topic.
Read moreSubmitted by Louis Argentine MD
A 34 year old Vietnamese male presents with complaint of neck swelling. It began one month ago and worsened over the past few days. He endorses fatigue and a mild weight loss. Exam shows an indurated, non mobile mass without tenderness or erythema. You order imaging and are concerned for TB but unsure what to do next.
Submitted by Stephanie Wilsey, MD
What may appear (and smell) impressive in the ED does not always require emergent intervention, yet understanding how to determine the severity of lower gastrointestinal bleeding, need for aggressive resuscitation, and diagnostic/consultant resources are key for the emergency provider.
Read moreSubmitted by Eric Gruber, MD
A 5 year old male without medical history presents to the Emergency Department with his concerned mother with chief complaint of rash for 2 days. The patient has a palpable purpuric rash localized to the buttocks, legs, and arms (see below).
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When patients present to the Emergency Department with acute upper GI bleeding, the natural inclination is to quickly pull the transfusion trigger. However, a 2013 study gives us pause...
Read moreSubmitted by Grace Lam, MD
Have you cared for a paient dying from traumatic hemorrhagic shock despite maximum resucitation efforts? Dr. Zaffer Qasim from Christiana Care and @emmeddoc joined us for an outstanding talk on the use of REBOA in this patient population.
Read moreSubmitted by Sarab Sodhi, MD
24 year old male presents with left knee pain after he reports playing basketball just prior to arrival. He states he landed on his left knee and "jammed it." He has decreased range of motion of the left knee and there swelling and tenderness-to-palpation of lateral joint line. What's the diagnosis?
Submitted by Joseph Cesarine, MD
A 45 year old man with PMHx of HTN presents with chief complaint of chest pain for 15 minutes after shoveling snow. His vital signs and physical exam are unremarkable. A 12 lead ECG is obtained...
Read moreSubmitted by Lisa Filippone M.D.