Browsing: Clinical

Topics , Clinical , Visual Diagnosis , Ultrasound

What's the Diagnosis?

6/13/2014 R. Jason Thurman, MD, FAAEM , Patty Smith, RDMS , Chris Champion, MD

What's the Diagnosis? Case 1. The Patient A 44-year-old male with a history of upper extremity DVT and MRSA positivity presents with a constant, throbbing left wrist and forearm pain. He denies any t

Critical Care , Ultrasound

Promoting and Expanding Ultrasound's Use in Central Venous Catheter Placement

6/11/2014 Kristen Cadden Swann, MD

Promoting and Expanding Ultrasound's Use in Central Venous Catheter Placement Historically there have been various ways to place central lines. Ultrasound-guided central line placement has emerged as

Radiology

Unexpected Discoveries: The Not-So-Incidental Radiographic Finding

6/10/2014 Whitney K. Bryant, MD, MPH , Joshua Denney, MD

Unexpected Discoveries: The Not-So-Incidental Radiographic Finding As the use of imaging modalities continues to increase in frequency, the incidence of unexpected radiographic findings continues to

Sepsis

The ProCESS Trial: A Landmark Study in Sepsis Management

6/9/2014 Haney A. Mallemat, MD , David T. Huang, MD, MPH , Danish Malik, MD

The ProCESS Trial: A Landmark Study in Sepsis Management An interview with two experts Drs. David Huang and Haney Mallemat answer some questions regarding the study and its implications. Dr. Huang is

Pediatric EM

Adult-Sized Problems

4/15/2014 Lt. Adam Forrest, DO

Adult-Sized Problems It was one of my first shifts of residency after spending a few years with the U.S. Marines. Until recently, I had not treated a patient under the age of 17 since my internship t

Critical Care , Toxicology

Understanding Alcoholic Ketoacidosis

4/15/2014 Gabriel Wardi, MD, MPH , Charles O'Connell, MD

Understanding Alcoholic Ketoacidosis A 49-year-old male with a history of alcohol abuse presents to the ED with complaints of generalized abdominal pain and vomiting for the last 36 hours. The patien

Mental Health , Pediatric EM , Clinical , Psychiatry

A Reflection on Mental Health and Emergency Medicine

4/15/2014 Kyra D. Reed, MD

A Reflection on Mental Health and Emergency Medicine After a knock on the door, I entered the hospital room to find Lisa, a 12-year-old patient who was seated on the exam table, eyes fixed on her sho

Infectious Disease , Neurology

A Temporal Problem: Diagnosing and Treating Viral Encephalitis in the ED

4/15/2014 Sajid Khan, MD , James Hall, MD

A Temporal Problem: Diagnosing and Treating Viral Encephalitis in the ED Case Report A 49-year-old male presents to the emergency department with two days of confusion, agitation, and speech abnormal

Prehospital Care

Backboards: Do They Really Have Your Back?

4/15/2014 Jose V. Nable, MD, NRP , Christina L. Tupe, MD

Backboards: Do They Really Have Your Back? Spinal immobilization has long been considered standard practice for pre-hospital trauma patients. Placing patients on long spinal boards is one of the most

Ultrasound , Pain Management , Clinical

Practical Tips: When and How to Use a Femoral Nerve Block

4/15/2014 Marsia Vermeulen, DO, FACEP , Kara Otterness, MD

Practical Tips: When and How to Use a Femoral Nerve Block An 82-year-old female shows up in your ED with severe hip pain after a fall at home. You already know what the x-ray is before you see it