Endocrinology , Critical Care

Thyrotoxicosis: STEMI plus Acute Psychosis

12/15/2018 Andrew Connor, DO , Sarah E. Fabiano, MD, FACEP, FAAEM

A thyroid storm is an acute, life-threatening emergency that requires timely recognition and management. Left untreated, the mortality rate is 80-100%.

Clinical

A Different Kind of Therapeutic Hypothermia

12/15/2018 Zaid Altawil, MD

Targeted temperature management has specific benefits for a variety of patients. But could therapeutic hypothermia be something to manage after a patient's death?

Cardiology

The Dysfunctional Drummer: Sick Sinus Syndrome

12/15/2018 Ashley Mogul, MD

Sick sinus syndrome, rather than being a single specific disease, is a collection of disorders that add up to trouble for the sinus node.

Pediatric EM

The Lupus of Metabolic Disorders: Pediatric Hypoglycemia and Its Management

12/15/2018 Zaza Atanelov, MD, MPH , Katie VanNatta, DO, MBA, MS , Carolyn Holland, MD, MEd, FACEP

Hypoglycemia in pediatric patients can be described as the lupus of metabolic disorders. It can be hard to differentiate if hypoglycemia is causing symptoms or is the result of an underlying problem.

Critical Care

Fluid Responsiveness in a Hemodynamically Unstable Patient

12/15/2018 Jason Block, MD , David Mackenzie, MD, FACEP

Will my critically ill patient respond to this bolus?

Pediatric EM , Dermatology

Melanocytes That Can Kill

12/15/2018 Yagnaram Ravichandran, MBBS, MD, FAAP , Maureen Luetje, DO , Katherine McVety, MD , Rajan Arora, MD

Children with risk factors for neurocutaneous melanosis should be followed closely and screened regularly.

ECG Challenge , Cardiology

ECG Challenge: December 2018

12/15/2018 Andrew Staffaroni, MD , Mahesh Polavarapu, MD , Jeremy Berberian, MD

A 72-year-old female presents with exertional syncope for the past several days. What is your interpretation of her EKG?

Visual Diagnosis , Airway

Diagnose This Condition

12/15/2018 R. Steven Stefancic, MD

A male in his mid-40s presents with sore throat, difficulty breathing, vocal change, and drooling. He appears anxious and uncomfortable; initial vitals show a febrile, tachycardic patient.

Cardiology

Rupturing Thoracic Aortic Aneurysm: A Case Report

12/15/2018 Caroline Trippel, DO

Ruptured thoracic aortic aneurysms are almost uniformly fatal. What can you do to provide the early detection and treatment that can offer hope of survival?

Ophthalmology

Spontaneous Proptosis in the ED

12/15/2018 Dinh B Vuong, MD , Lawrence Brown, PhD , Alison B Huggins, MD , Marie Somogyi, MD

The eye is a critical organ in our everyday life. When a patient presents to the ED with an eye emergency, it's crucial to quickly assess whether their vision is at risk - and take action to preserve

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