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Adult-Sized Problems It was one of my first shifts of residency after spending a few years with the U.S. Marines. Until recently, I had not treated a patient under the age of 17 since my internship t
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Understanding Alcoholic Ketoacidosis A 49-year-old male with a history of alcohol abuse presents to the ED with complaints of generalized abdominal pain and vomiting for the last 36 hours. The patien
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A Different Perspective Ian and I found out we were pregnant on the Sunday after Thanksgiving – one month along; everything seemed to be going right in life, and this just felt like it was meant to b
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A Reflection on Mental Health and Emergency Medicine After a knock on the door, I entered the hospital room to find Lisa, a 12-year-old patient who was seated on the exam table, eyes fixed on her sho
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A Temporal Problem: Diagnosing and Treating Viral Encephalitis in the ED Case Report A 49-year-old male presents to the emergency department with two days of confusion, agitation, and speech abnormal
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12 Ways to Prosper in Emergency Medicine After 35 years in emergency medicine, you gain a little more than just medical knowledge. The day in and day out, grueling aspects of our chosen field can som
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Backboards: Do They Really Have Your Back? Spinal immobilization has long been considered standard practice for pre-hospital trauma patients. Placing patients on long spinal boards is one of the most
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Practical Tips: When and How to Use a Femoral Nerve Block An 82-year-old female shows up  in your ED with severe hip pain    after a fall at home. You already know what the x-ray is before you see it
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What EMS Teaches Us “I'm scared.” The young woman was tearful. These were the words of a patient from our first call of the day, a woman from the local jail with a possible miscarriage. She had had
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Outside the ED: How EMS can Improve Your Emergency Medicine Residency Pre-hospital medicine offers unique opportunities to an EM physician, and EMS training complements the emergency medicine curric