The Danger of Weight Loss Supplements
A 54-year-old male presents with a chief complaint of heat exhaustion. He is a truck driver who has been traveling across the country without air conditioning. P
Evidence-Based Updates
Case 1 A 6-year-old female presents with 3 days of fever, nausea, and vomiting from a presumed viral gastroenteritis. On examination she is febrile to 39 degrees Celsius and he
Current Advances in Rapid Stroke Diagnosis
At a rural acute stroke-ready hospital in the year 2030, you are using a tele-stroke tablet to evaluate a 62-year-old male en route by mobile computed tomog
Perils and Pitfalls of Adopting Bleeding-Edge Technology in the ED
“Wearable technology” has become a part of daily life for millions of individuals. Who can remember the last time they navigated a
Becoming America's Next Top Medical Performer
Medical simulation has experienced rapid growth over the past 15 years, with up to 92% of emergency medicine residencies using simulation in some capacit
The UtiliTEE of Ultrasound in Cardiac Arrest
A 57-year-old obese man with unknown past medical history becomes unresponsive and pulseless on the subway platform with bystander CPR initiated. EMS arri
Palliative Care, Part 1
The Importance of Early Implementation in the ED Emily is tired. The illness is evident when she arrives in the emergency department (ED). You can see it in her face, her skin
Gasping for Air: Albuterol-Induced Lactic Acidosis
Pyruvate + NADH + H+ †” lactate + NAD+ Lactic acidosis is a commonly encountered phenomenon within the emergency department (ED). In the setting of
REBOA: A Precious (Life)line
A 25-year-old male is brought in by EMS with a gunshot wound. Vital signs are as follows: HR 130 BPM, BP 60/palp, RR 24, SpO2 99% RA, and temperature 37.5 Celsius. He app
Rapid Sequence Intubation: Basics for Medical Students
We all learn our ABC's as kids, but after a couple years of medical school they take on a different meaning: airway, breathing, and circulation.