ALiEM

MAY 29, 2023

Massive epistaxis is considered a medical emergency that requires immediate attention. Symptoms of massive epistaxis include sudden and heavy bleeding from the nose, difficulty breathing, dizziness, and a rapid heartbeat. If left untreated, it can lead to significant blood loss, shock, airway obstruction, and even death. We report a case of a 50-year-old man with end stage renal disease with massive nasal bleeding from the left nostril, shortness of breath, and confusion.

Blood Transfusions 98

Blood Transfusions Emergency Department Shock Hospitals 98

Don't Forget the Bubbles

MAY 29, 2023

You are working with your colleagues to assist an 8-year-old with multiple injuries following a high-impact traffic collision. You’re thinking about the next steps and voicing the options; you hear an impatient voice saying, “Are up for this? Should I do it?” from one of the team. What does incivility look like? Whilst not a new concept, incivility is still a widely reported concern within healthcare.

Leadership 98

Leadership Patient Safety Academics Research 98

Science Based Medicine

MAY 29, 2023

Some of your fans want public health officials to suffer. Should you care? The post Open Letter to a Medical Student Part 2: “It Was Criminal in My Mind” first appeared on Science-Based Medicine.

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University of Maryland CC Project

MAY 29, 2023

Anica Law, MD, MS, Assistant Professor of Medicine/Pulmonary Center at the Boston University School of Medicine presents Critical Care Grand Rounds with a lecture entitled "After Our Work Here is Done: Survivorship After the ICU." Anica Law, MD, MS, Assistant Professor of Medicine/Pulmonary Center at the Boston University School of Medicine presents Critical Care Grand Rounds with a lecture entitled “After Our Work Here is Done: Survivorship After the ICU.

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EMergucate

MAY 29, 2023

56 year old man with background of type 2 DM. Presented after a fall at home. He was presyncopal with blood pressure of 60/50 and pulse rate of 50/ min. (Normal sinus rhythm).

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AED Leader

MAY 29, 2023

AED pads expire after two to four years (depending on the model), but do you know what to do with expired AED pads after you’ve replaced them with new ones? And what about AED batteries and old AEDs? As items with electronic components, you can’t simply throw your old AED pads or AED batteries in Read More "What Should You Do with Expired AED Pads and Batteries?

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Cook County EM Blog

MAY 29, 2023

The Case: A 4-year-old boy born with no past medical history presents in cardiac arrest. As resuscitation measures are underway, you obtain collateral from EMS and parents. The patient’s sibling had recently been diagnosed with a viral upper respiratory infection and was prescribed a cough suppressant. Unfortunately, the medication had been left within reach of the child and an unknown number of capsules were ingested.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

Sensible Medicine

MAY 29, 2023

The NEJM published a paper last week that may change the future of medical evidence. It is seriously important. But today is Memorial Day in the US. It is not time to analyze papers. It is time to remember and honor those who gave their life in the service of this country. I travel a fair amount and one of the moments that I enjoy—no matter how tired—is when the border guard at passport control says…'“welcome home.” It reminds me of something that is easy to take fo

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University of Maryland Department of Emergency Med

MAY 29, 2023

Background: In general practice, platelets are typically transfused for invasive procedures when the platelet count falls below 50 x 109/.

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Canadian EM

MAY 29, 2023

Hi Folks! The atmosphere at the Canadian Association of Emergency Physicians (CAEP) conference was electric as attendees gathered for the first day of an event that promised to be both informative and transformative. From the heartwarming reunions of old friends and colleagues to the forging of new friendships, the day was already off to an engaging start.

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University of Maryland CC Project

MAY 29, 2023

Dr. Tyson Suljin is Deputy Chief of Critical Care Medicine and APD of the Internal Medicine Residency Program at Brook Army Medical Center. He presents a lecture entitled "Massive Transfusion" from the Critical Care perspective as part of the DC5 lecture series. Dr. Tyson Suljin is Deputy Chief of Critical Care Medicine and APD of the Internal Medicine Residency Program at Brook Army Medical Center.

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Military Resuscitation 40

Pediatric Education

MAY 29, 2023

PediatricEducation.org is taking a short break. The next case will be published on June 5th. In the meantime, please take a look at the different Archives and Curriculum Maps listed at the top of the page. We appreciate your patronage, Donna D’Alessandro and Michael D’Alessandro, curators.

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University of Maryland CC Project

MAY 29, 2023

Dr. Allison Lankford is an Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Services at the University of Maryland. She is a Maternal Fetal Medicine and Critical Care physician at the University of Maryland Medical Center. Dr. Lankford presents a lecture on the "Hypertensive Disorders of Pregnancy" as part of the DC5 Lecture series.

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EMergucate

MAY 29, 2023

Answers: PH = 7.56, that is moderate alkalaemia HCO3 = 38.4 mmol/L, so we have metabolic alkalosis. Next, we will calculate the compensation.

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University of Maryland CC Project

MAY 29, 2023

Dr. Allison Lankford is an Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Services at the University of Maryland. She is a Maternal Fetal Medicine and Critical Care physician at the University of Maryland Medical Center. Dr. Lankford presents a lecture entitled "Gas Exchange and Pulmonary Ventilation in the Critically- Ill Obstetric Patient" as part of the DC5 Lecture series.

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PHARM

MAY 29, 2023

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RebelEM

MAY 29, 2023

Background: Sepsis can induce numerous physiologic derangements. At the most severe end, this includes endothelial dysfunction leading to increased vascular permeability, abnormal nitric oxide metabolism, and vasodilation (i.e. septic shock). Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications.

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Shock Fluid Resuscitation Sepsis Resuscitation 142

PHARM

MAY 29, 2023

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SheMD

MAY 29, 2023

“A 31 year-old homosexual man…” the practice question stem begins. I jump to the end of the long paragraph of details, ending with “What is the most likely diagnosis?” Of the answer options, one is related to HIV; I choose that selection. I am correct. On to the next question. Whenever specific descriptors are added to a patient vignette for board exams, it is grounded in higher prevalence of certain diseases, behaviors, or traits.

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PHARM

MAY 29, 2023

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EMDocs

MAY 29, 2023

Authors: Rachel Kelly, MD (EM Resident Physician, Stony Brook University Hospital) and Robert Nocito, MD (EM Attending Physician, Stony Brook University Hospital) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Louis); Marina Boushra (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 54-year-old female with a past medical history of rheumatoid arthritis presents to the emergency department (ED) with generalized fatigue.

Infectious Diseases 53

Infectious Diseases Emergency Department EMS Hospitals 53