Browsing: Clinical

Clinical , Critical Care , Sepsis , Pediatric EM

In Shock: The Approach to Pediatric Sepsis

6/13/2015 Jessica Wall, MD

In Shock: The Approach to Pediatric Sepsis Introduction and Sepsis Review Whether in a pediatric or adult patient, the physiologic process of sepsis remains the same. Sepsis is a systemic inflammator

Clinical , Ultrasound , Pain Management

Three-in-One: The Forearm Nerve Block

6/13/2015 Marsia Vermeulen, DO, FACEP , Andrew Oh, MD

Three-in-One: The Forearm Nerve Block A 29-year-old carpenter rushes into your emergency department with a 6 cm laceration on the palmar aspect of his hand after mishandling a power saw. The lacerati

Clinical , Critical Care

Solo Sodium: Emergent Management of Symptomatic Hyponatremia

6/13/2015 Ryan Cooper, MD , David Snow, MD, MSc

Solo Sodium: Emergent Management of Symptomatic Hyponatremia A 62-year-old Hispanic male is brought in by EMS for altered mental status and new onset seizure. On arrival to the emergency department

Ethics , Medical Students , International EM

Ethical Dilemmas During the Global Health Elective

6/13/2015 Anand Selvam, MD

Ethical Dilemmas During the Global Health Elective The Other Side of the Looking Glass The blood will not stop flowing. Marked with many of the sequelae of late-stage AIDS, my 19-year-old HIV-positiv

Clinical , Critical Care

Resuscitation and the Humeral Intraosseous Line

6/13/2015 Justin Stimac, MD

Resuscitation and the Humeral Intraosseous Line A lethargic 56-year-old female with a history of end stage renal disease and intravenous drug use presents with hypoglycemia and severe hypotension. De

Clinical , OB/GYN

Short of Breath Short List

6/12/2015 Alison Smith, MD, MPH

Short of Breath Short List The diagnosis of cardiopulmonary pathology in a pregnant patient presenting with dyspnea and/or chest pain can be an arduous task given the physiologic changes of pregnancy

Clinical , Critical Care , OB/GYN

Thrombolytics for Pulmonary Embolism in Pregnancy

6/12/2015 Mohammed Alomani, MD

Thrombolytics for Pulmonary Embolism in Pregnancy A 32-year-old pregnant woman at 30 weeks gestation is brought to the emergency department. Earlier in the day she had a sudden onset of shortness of

Clinical , Critical Care , Neurology

Stroke Alert: Beyond the Non-Con

6/12/2015 Dhimitri Nikolla, DO

Stroke Alert: Beyond the Non-Con A 60-year-old female presents to the ED with altered speech and decreased responsiveness that began less than one hour ago. Outside of a resolving hypoxia, all vital

Medical Education , Clinical

The Value of Variety

6/12/2015 David Diller, MD

The Value of Variety The knowledge base required for clinical expertise in emergency medicine is immense. Even after decades of practice, it is still routine to hear seasoned emergency physicians mak

Clinical , Pediatric EM , Medico Legal , Risk Management Pitfalls

Acute Hematogenous Osteomyelitis in Children

4/30/2015 EM Resident

Acute Hematogenous Osteomyelitis in Children From the February 2014 issue of Pediatric Emergency Medicine Practice, “PEMP – Emergency Department Management of Acute Hematogenous Osteomyelitis in Chil