Rural Pearl- Unprovoked

  Rural Pearl- First time seizure You are back for you solo overnight shift at Rural General Hospital.  At 2 am a new patient comes in with his fiance.  He is a 25 year old male and the fiance says the patient had a “shaking episodes”…

52 in 52

The 52 in 52 Review:  The International Registry of Acute Aortic Dissection (IRAD) New Insights Into an Old Disease. Article Citation: Hagan PG et al. The International Registry of Acute Aortic Dissection (IRAD)New Insights Into an Old Dise…

Rural Pearl- Precipitous Delivery

You are once again working your solo overnight shift and Rural General Stand Alone Hospital.  In the door walks a 33 yo G6P5 female with abdominal cramping who is 35 weeks pregnant.  The labor and delivery service recently closed down and a…

Rustic Rural Pearl

You are working at Rural General Hospital, solo coverage overnight     Patient is a 35yo male with no past medical history presents to the ED from home with the complaint of “something in my eye”, he reports blurry vision and seve…

Rural Pearl – There is no hand

You have just recently started a lucrative position in a small rural hospital in Northern Vermont.  In your first week you are working a single provider overnight shift and a patient presents for a laceration to their left hand.   Hist…

Cystic Fibrosis in the Emergency Room

This series is designed to discuss topics that we might not routinely encounter during our training or how to manage patients we would normally triage to a sub-specialty service.   This pearl comes courtesy of an excellent review on emDoc….

December 2022
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