48M arrives in the passenger seat of wifes car coughing up a large amount of blood. He is very pale appearing, his pulse becomes thready and the patient starts to become unresponsive. Wife tells you he has a history of AML and is being treated with Amphotericin B for an Aspergilloma. The patient arrives to the resuscitation room in cardiac arrest.
Read moreSubmitted by John Cafaro MD
A 15 yo M presents to the ED with headache x 3 days.
Read moreSubmitted by Katie Selman, MD
Check out this lateral film of the wrist. See the fracture? Look again! Surprise...there is no fracture, but this patient has sustained a serious wrist injury with the potential for long term disability. This week we highlight some of the most common missed orthopedic injuries in the ED and suggest a few strategies to minimize the errors.
Read moreSubmitted by Richard Byrne, MD
You are responding to a cardiac arrest and the patient has achieved return of spontaneous circulation however his blood pressure drops to 68/40 mmHg. You would like to use push dose epinephrine. How is this prepared?
Read moreSubmitted by Rachel Rafeq PharmD
Which of the following pediatric conditions is associated with intussusception? (scroll down for the answer)
- Henoch-Schonlein Purpura
- Kawasaki Disease
- Testicular Torsion
- Immune Thrombocytopenic Purpura
- Acute Appendicitis
Submitted by Louis Argentine MD
Dr. Coletta discusses winter environmental emergencies at the CUH Emergency Department conference.
Read moreSubmitted by Michael Coletta, MD
A 24 yo male presents with ankle pain
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Submitted by Michael Tom, MD
A 25 yo male with a hx of ESRD due to membranoproliferative glomerulonephritis (MPGN) presents to the ED with complaints of swelling to his LUE, face, and neck progressive over 5 days. He was seen at another ED 2 days prior and had an ultrasound of his LUE fistula as well as a duplex of his LUE which were unremarkable. A CT scan of the chest was ordered, revealing bilateral occluded brachiocephalic veins, which were treated in the interventional radiology suite with balloon venoplasty with resultant resolution of edema.
Read moreSubmitted by Richard Byrne, MD
Clonidine is a common medication prescribed for a variety of indications in both the adult and pediatric population. It's also on the "one pill can kill" list. Read on below for a high level overview of clonidine and how to manage an overdose.
Read moreSubmitted by Loran Hatch, DO
Which of the following medications is NOT associated with methemoglobinemia? (scroll down for answer)
A) Quinines
B) Benzocaine
C) Sodium Nitrite
D) Dapsone
E) Ciprofloxacin
Read moreSubmitted by Louis Argentine MD