Pediatric EM Morsels

JULY 7, 2023

In the past, we have discussed several causes of Knee Pain in children. Some of those causes are benign (ex, Osgood Schlatter’s Disease ) while others are scary (ex, osteosarcoma ). Evaluating the limping child , though, requires us to ponder not only the common (ex, Toddler’s Fracture ), but also to be vigilant for the severe (ex, Septic Arthritis ).

Dislocations 141

Dislocations Fractures Pediatrics EMS 141

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. She notes that the wound has been present for greater than a year and it becomes malodorous and painful and oozes intermittently. She reports fevers up to 103 degrees Fahrenheit. She endorses a one-year history of near-syncopal episodes associated with shortness of breath, headache, and neck pain.

Forensics 98

Forensics Airway Management Administration Emergency Department 98

Emergency Live

JULY 7, 2023

Kidney cancer is the most frequent among those affecting the urinary tract, after that of the prostate and bladder The post Kidney cancer: definition, causes, symptoms, diagnosis and treatment appeared first on Emergency Live.

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Science Based Medicine

JULY 7, 2023

Is your child allergic to penicillin? Are you sure about that? Penicillin allergy is much less common than widely believed and there is a big push to delabel pediatric and adult patients who actually can tolerate these antibiotics. The post Delabeling Penicillin Allergies: A Public Service Announcement from Science-Based Medicine first appeared on Science-Based Medicine.

Pediatrics 92

Pediatrics 92

Emergency Live

JULY 7, 2023

Graves' disease, also known as, Basedow-Graves' disease, Basedow-Graves' disease or diffuse toxic goiter, is an autoimmune disease affecting the thyroid gland characterised by one or more manifestations such as: hyperthyroidism, increased thyroid volume (goiter), sometimes ocular pathology (ophthalmopathy) and, in rare cases, skin pathology (dermopathy) The post Graves' disease (Basedow-Graves): causes, symptoms, diagnosis and treatment appeared first on Emergency Live.

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ACEP Now

JULY 7, 2023

Question: A 67-year-old man presents to the emergency department (ED) following syncope. He denies any antecedent symptoms. He has a witnessed episode of syncope in the ED, and the following ECG, is obtained What is the likely diagnosis? Left bundle branch block Supraventricular tachycardia with aberrancy Wolff-Parkinson-White syndrome Ventricular tachycardia See the answer here.

Emergency Department 90

Emergency Department EKG/ECG 90

Maria Yang, MD

JULY 7, 2023

For those of you who follow baseball, you likely know that All-Star Week is happening here in Seattle. For those of you who don’t follow baseball (like me), All-Star Week lasts less than a week and is a celebration of baseball and baseball players. (For example, the World’s Largest Baseball is currently here in Seattle. More on that below.

Shock 59

Shock Wellness 59

ACEP Now

JULY 7, 2023

Answer: The correct answer is ventricular tachycardia (d). Ventricular tachycardia (VT) is more common in men and in individuals older than 65 years. The most common risk factors include structural heart disease (i.e., cardiomyopathies), and ion-channel mutations (i.e., catecholaminergic polymorphic VT). Idiopathic VT occurs in a structurally normal heart and is very rare.

Resuscitation 52

Resuscitation 52

Dr. Smith's ECG Blog

JULY 7, 2023

This was texted to me. An 80-something woman who presented with chest pain and dyspnea. What do you think? The rhythm appears to be atrial fibrillation. In any case, it is clearly a supraventricular rhythm. There is significant ST depression in V2-V4. Is this posterior OMI? Before jumping to any conclusions about the significance of ST-T abnormalities, you must first be certain that they are not a result of (secondary to) any QRS abnormalities.

EKG/ECG 52

EKG/ECG 52

ACEP Now

JULY 7, 2023

This is the second in a multi-part ACEP Now series focused on mental health emergencies. Last month’s article focused on ACEP’s efforts and resources to support EDs and patients with psychiatric emergencies. Future articles will highlight solutions and success stories. This month, we are discussing the medical management of patients with mild to moderate agitation.

Emergency Department 52

Emergency Department Psychiatric Administration Best Practices 52

Kings County Downstate EM

JULY 7, 2023

Author: Rachelle Modeste, MD Editors: Alec Feurerbach, MD and Philippe Ayres, MD Faculty Editor: Anastasios Drenis, MD Why so Blue, Baby? Part I – County EM (clinicalmonster.com) Initial Evaluation: Now that we have described each of the cyanotic congenital heart defects (CHD), let’s jump back to the bedside. […] The post Why so Blue, Baby?

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EMS Pediatrics 40

ACEP Now

JULY 7, 2023

Standard reviews of epistaxis in the emergency medicine literature center on the epidemiology, etiology, whether the bleeding is anterior or posterior, and methods by which bleeding can be controlled. As with other entities, management of the airway must take precedence. While unusual, nosebleeds may present with life-threatening airway compromise. This is a discussion of a potentially disastrous airway outcome.

Airway Management 59

Airway Management EMS Burns Operations 59

University of Maryland Department of Emergency Med

JULY 7, 2023

Multiple vision disorders may occur after concussion including injury to the systems that control binocular vision including: Convergence in.

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ACEP Now

JULY 7, 2023

Out-of-hospital cardiac arrest is a commonly encountered entity in U.S. emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. 1 Ventricular tachycardia (VT) and ventricular fibrillation (VF) represent the most common initial rhythms for patients presenting to the ED in out-of-hospital cardiac arrest, as well as for patients who develop cardiac arrest while in the ED. 2,3 In general, patients who develop cardiac arrest with an initial r

Resuscitation 98

Resuscitation Shock Stroke Hospitals 98

ACEP Now

JULY 7, 2023

Case A 50-year-old woman presents to the emergency department (ED) complaining of epigastric pain and nausea for 36 hours. The physical examination is consistent with biliary colic and the blood work shows a mild elevation in C-reactive protein while her white blood cell count and liver function tests are normal. You perform a biliary ultrasound (US) in the ED (BUSED) which shows a gallbladder (GB) full of stones, some GB wall thickening and a positive Murphy’s sign.

Ultrasounds 52

Ultrasounds Radiology Radiology Emergency Department 52