Browsing: Clinical

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

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 , Airway , Critical Care

Opinions and History on Laryngoscopy

6/13/2015 W. Tyler Winders, MD , Mike Steuerwald, MD

Opinions and History on Laryngoscopy As Kleenex ® has evolved to relate to facial tissue, video laryngoscopy (VL) has become a descriptor for any use of a laryngoscope device with a video camera on i

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 , 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 , Cardiology

Early Cardiac Catheterization and PCI in Cardiac Arrest with ROSC

4/30/2015 Joshua Davis, MD

Early Cardiac Catheterization and PCI in Cardiac Arrest with ROSC We all know early recognition and early CPR is important for out-of-hospital cardiac arrest patients; however, what is the optimal ca

Clinical , Toxicology , Medico Legal , Risk Management Pitfalls

ED Management of Calcium-Channel Blocker, Beta Blocker, and Digoxin Toxicity

4/30/2015 EM Resident

ED Management of Calcium-Channel Blocker, Beta Blocker, and Digoxin Toxicity From the February 2014 issue of Emergency Medicine Practice, “EMP – Emergency Department Management of Calcium-Channel Blo

Clinical , EMS , Prehospital Care

The Case for Prehospital and ED Use of Tourniquets

4/30/2015 Joshua Bucher, MD

The Case for Prehospital and ED Use of Tourniquets A 27-year-old male is brought in by ambulance after experiencing a gunshot wound to the mid right thigh. At the time of his arrival with EMS, he is