Browsing: Clinical

Toxicology , Clinical

How LOW Can You Go? Sulfonylurea-Induced Hypoglycemia

5/25/2016 Dhimitri Nikolla, DO , Christopher Karns, DO

How LOW Can You Go? Sulfonylurea-Induced Hypoglycemia A 66-year-old female with a past medical history of diabetes mellitus type two and dementia presents to your emergency department with hypoglycem

Palliative Care

POLST: Guiding Providers in End of Life Care

5/23/2016 Lindsay Weaver, MD , Elaina DiOrio, MD

POLST: Guiding Providers in End of Life Care It is 9 a.m. in the emergency department when triage announces overhead, “Cardiac arrest. 5 minutes.” A few minutes later, the EMS crew arrives actively d

Clinical , Cardiology , ECG Challenge

ECG Challenge

5/6/2016 Zachary S. Wilson, MD

ECG Challenge Case A 76-year-old female with dementia and unknown cardiac history presents with chest pain and palpitations for 4 hours. Answer Atrial fibrillation preceded and followed by paced beat

Clinical , Airway , Ultrasound

Confirmation of Endotracheal Intubation with Bedside US

4/7/2016 Marsia Vermeulen, DO, FACEP , Jennifer Beck-Esmay, MD

Confirmation of Endotracheal Intubation with Bedside US A 45-year-old female is brought into your emergency department after cardiac arrest. A quick history from her husband reveals they recently ret

Clinical , Pediatric EM , Ophthalmology

Tips for Tots: Ocular Chemical Burns

4/7/2016 Charles Justin Hall, DO

Tips for Tots: Ocular Chemical Burns A 3-year-old boy presents with his frantic parents after spilling bleach in his right eye 20 minutes prior to arrival while playing in the laundry room. Parents d

Clinical , Toxicology , Wilderness Medicine

5-Step Approach to Marine Envenomations

4/7/2016 Navneet Cheema, MD , Carrie Jurkiewicz, MD

5-Step Approach to Marine Envenomations When medical toxicologist Matthew Sztajnkrycer, MD, FACEP, was a second-year resident, he answered a truly strange telemetry call. EMS had arrived on scene of

Toxicology

Emerging Drugs of Abuse

4/5/2016 Natalia Rumas, MD

Emerging Drugs of Abuse A number of new synthetic drugs have penetrated the United States markets and our emergency departments over the past several years. Poison control centers have experienced an

Clinical , Toxicology , Recreational Drugs

Approach to Alcohol Withdrawal Syndrome

4/5/2016 Jason Chu, MD , Emily Eaglstein, MD , Allison Sauler, MD

Approach to Alcohol Withdrawal Syndrome A 43-year-old homeless Hispanic male presents to the emergency department (ED) complaining of generalized pain and weakness. On exam he is anxious, diaphoretic

Clinical , Critical Care , Orthopedics

Fractures and Fat Globules: Fat Embolism Syndrome

4/4/2016 Nicholas Johnson, MD , Molly Tolins, MD

Fractures and Fat Globules: Fat Embolism Syndrome EMS brings in a 20-year-old male who jumped from an overpass in a suicide attempt. He arrives with normal hemodynamics and is found to have bilatera

Clinical , Cardiology

Clinical Utility of BNP in Acute Congestive Heart Failure

4/4/2016 Nilesh Patel, DO , Joseph Bove, DO

Clinical Utility of BNP in Acute Congestive Heart Failure You are working in the acute side of your emergency department when EMS brings in a patient in respiratory distress on CPAP. EMS reports a 58