Browsing: Clinical

Toxicology , Clinical

Poisoned Pump: Management of Calcium Channel Blocker Toxicity

2/2/2017 Michael Stengel, MD , David Story, MD

Poisoned Pump: Management of Calcium Channel Blocker Toxicity A 46-year-old male with a history of hypertension presents after an intentional overdose of 500 mg of amlodipine 1 hour prior to arrival.

Infectious Disease

Fight Bites and Other Human Bite Injuries

2/2/2017 Omid Rashidbaigi, MSIV , Darren Cuthbert, MD, MPH , Ali Rashidbaigi, MD

Fight Bites and Other Human Bite Injuries A 27-year-old male presents to the emergency department complaining of purulent drainage from a wound to his right hand. He says that he was in a fight about

Ultrasound , Cardiology

Can't Miss Killer: The Role of Point-of-Care Ultrasound in Diagnosing Acute Aortic Dissection

2/1/2017 Thompson Kehrl, MD, RDMS, FACEP , Lindsey Ball, MD

Can't Miss Killer: The Role of Point-of-Care Ultrasound in Diagnosing Acute Aortic Dissection A 69-year-old female with a history of hypertension and abdominal aortic aneurysm (AAA) presents to the e

Pediatric EM , Health Policy

Passport to Health: Challenges of Caring for Undocumented Children in the Emergency Department

2/1/2017 Michael Holdsworth, MD , B. Barrie Bostick, MD

Passport to Health: Challenges of Caring for Undocumented Children in the Emergency Department Introduction An undocumented immigrant is an individual who enters the United States without inspection

Disaster Medicine

When Disaster Strikes: Crisis Management from Inside Hurricane Matthew

2/1/2017 Krelin Naidu, DO , Jenna Santiago-Wickey, DO , Gregory Capece Jr., DO , Elizabeth Gignac, DO, FACOEP

When Disaster Strikes: Crisis Management from Inside Hurricane Matthew Emergency department (ED) physicians are trained and expected to think on our feet, to make the best of unusual circumstances an

Infectious Disease

CNS Toxoplasmosis

2/1/2017 Sarah E. Fabiano, MD, FACEP, FAAEM , Harley E. Chapman Jr., CFRN, FP-C, CMTE , Bradley G. Collins, MD

CNS Toxoplasmosis A 26-year-old Spanish-speaking female patient presents to the emergency department (ED) with right-sided weakness after a witnessed seizure. The patient is postictal, combative, and

Critical Care , Critical Care Alert , PGY1

Critical Care Alert: Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage

12/14/2016 Yanika Wolfe, MD

Critical Care Alert: Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage A 57-year-old male with a history of hypertension and diabetes develops a severe headache and nausea.

Clinical , Cardiology , ECG Challenge

ECG Challenge

12/9/2016 Zachary S. Wilson, MD

ECG Challenge Case. A 79-year-old male with a medical history of “some heart problems” presents to the emergency department with 3 days of fatigue and shortness of breath. This ECG is obtained in tri

Critical Care , Airway

Post-Intubation Tracheal Tear Leading to Abdominal Compartment Syndrome

12/6/2016 Rotem Friede, MD , Ben Liss, MD , Alin Gragossian, DO, MPH

Post-Intubation Tracheal Tear Leading to Abdominal Compartment Syndrome A 46-year-old female with a history of asthma and anxiety presents to the emergency department (ED) with progressively worsenin

Palliative Care

Palliative Care, Part 2: A How-To Guide

12/1/2016 Laura E. Creel, MA , Christina Creel-Bulos, RN-BSN, MD

Palliative Care, Part 2: A How-To Guide Editor's note: This is the second in a two-part series. Michael is tired. The emergency department (ED) is inconceivably busy. The waiting room census keeps gr