As you scan the ED trackboard, you recognize the name of a 22 year old patient who you saw the week before after a house fire. At that time, the patient was treated for carbon monoxide (CO) poisoning and briefly admitted to the hospital. Today’s chief complaint is dyspnea and chest pain. You note that the patient is tachycardic, hypoxic, and complained of pleuritic chest pain at triage. You wonder if the prior exposure to carbon monoxide should raise your pre-test probability for certain diagnoses.
Read moreSubmitted by Lars-Kristofer Peterson, MD
Clinical Question: Do dopamine antagonist decrease length of stay in cannabinoid hyperemesis syndrome?
Submitted by Courtney Martin, DO
2 year-old male with no PMHx is brought to the ED for intermittent abdominal pain for the past two days.
Read moreSubmitted by Lauren Murphy, MD
Basics of how to diagnose and manage alveolar osteitis, or 'dry socket', a common cause of dental pain following tooth extraction
Read moreSubmitted by Loran Hatch, DO
Patient-ventilator asynchrony is underrecognized yet associated with increased mortality, ICU length of stay and duration of mechanical ventilation in critical illness. How do you diagnose and treat it? Hint: the answer is rarely deep sedation or paralysis!
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Submitted by Emily Damuth, MD
Patient presents to the ED with non-specific complaints of intermittent fever, nausea, vomiting, abdominal pain, cough, congestion, headache and myalgias over the past 1 week. Returned from Pakistan 1 month ago.
DDx: Malaria vs Dengue vs Chikungunya vs Influenza vs HIV ...
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Submitted by Loran Hatch, DO
A 30 yo M presents to the ED complaining of atraumatic lower back pain x 2 days
Read moreSubmitted by Loran Hatch, DO
A 56 yo male with a hx of TBI, subglottic stenosis, tracheomalacia, and tracheal stenosis presents in acute respiratory distress. There is a strange looking trach in place with no balloon for a cuff. You begin to wonder how you will manage this pt if he ultimately requires mechanical ventilation.....
Read moreSubmitted by Richard Byrne, MD
What do excedrin, pepto bismol, aspirin and oil of wintergreen have in common? Salicylates! As we know, this common drug can be quite toxic in overdose. Here we review the basics of salicylate poisoning.
Read moreSubmitted by Stacy Marshall, MD