You are working a resuscitation shift when EMS calls in a young comatose male, ETA 3min. Tryptophan! His mother probably gave him too many leftovers, he tried to decline but she insisted because Go-gurt does not make for a balanced diet. Ca…
You’re working Black Friday when a young diabetic female arrives to your ED complaining of abdominal pain and lethargy after eating every carbohydrate and gram of fat in sight yesterday. Who could blame her? She also stopped taking he…
Grandma made it back to Thanksgiving safe and sound. But now, alas, cousin Scooter, who seems oddly illiterate regarding his nut allergy, eats a bite of pecan pie. Thankfully, you have an epipen, inject his thigh, and save the day. However,…
Everyone is enjoying a fabulous Thanksgiving dinner when suddenly Grandma starts complaining that she can’t swallow, that something’s stuck, why didn’t you cut the turkey into smaller pieces, this is your fault, and now sh…
In my last day as TR, I will end with a final “Name that Poisonous Beast!”. Farewell, to poisonous beasts everywhere! In this case, back in the garden. Name this poisonous beast! A) And it’s amphibian colleague: B)
And back by popular demand, it’s another installment of “Name that Poisonous Beast!” Name this poisonous beast! A) And it’s stony neighbor: B)
You see a 20 month old with no PMH who has been wheezing and coughing for a few days. His cousin has RAD. Should you just give him a little albuterol and see how he does? Here’s his x-ray: What are you concerned for?
Status epilepticus is one of the few neurologic emergencies. Many protocols for persistent status involve dosing with a benzodiazepine, then another benzo, then an antiepileptic medication, and finally, continuous sedation with intubation….
What do you think?
A 24yo M with hx schizophrenia presents to the ED agitated, threatening staff and making gestures of self-harm. You are unable to verbally deescalate him and go to order some sedative medication. However, on his chart you see “Allergy: ha…
A recent double-blinded, RCT from JAMA investigated the relative efficacies of naproxen + placebo, naproxen + cyclobenzaprine and naproxen + oxycodone/acetaminophen on functional impairment in acute onset (<2 weeks), non-traumatic, non-r…
CMS recently produced a new sepsis measure/bundle that has many EM and critical care docs up in arms. I’m not going to focus on their definition of sepsis (save your rage for later), but instead on the fact that their definition of resusci…
It’s the final part of “Name that Poisonous Beast!”. Today, we’re going to take a walk in the garden. Name this poisonous beast! A) And it’s seedy neighbor: B)
Part 3 of “Name that Poisonous Beast” is ocean-themed. Name this poisonous beast! A) And it’s floaty colleague: B)
It’s part 2 of “Name that Poisonous Beast!”. Here we go! Name this poisonous beast! A) And his slithery friend… B) And what about this guy? C)
