Clinical Scenario: A 66-year-old male with a past medical history of traumatic brain injury and frequent urinary tract infections sent from his nursing home with hypernatremia. On a routine blood draw he was found to have hypernatremia to…
Article Citation: Wyse DG, Waldo AL, DiMarco JP, Domanski MJ, et al; Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators. A comparison of rate control and rhythm control in patients with atrial fibrillati…
Clinical Scenario: A 28-year-old male with no significant past medical history presents with low back pain for 6 days. His pain started after playing soccer. The pain is severe, sharp, and radiates down the left leg. The pain limits his abi…
Clinical Scenario: A 2-year-old female with no significant past medical history presents with vomiting and abdominal pain for 1 day. Among other entities in your differential diagnosis you are considering intussusception, however it is lowe…
Article Citation: Moore EE, Knudson MM, Burlew CC, Inaba K, et al; WTA Study Group. Defining the limits of resuscitative emergency department thoracotomy: a contemporary Western Trauma Association perspective. J Trauma. 2011 Feb;70(2):334-9…
Clinical Scenario: A 68-year-old man with a past medical history of diabetes mellitus, hypertension, and recent admission for pneumonia presents with fever and diarrhea for 5 days. The patient has had multiple watery stools per day. Associa…
Clinical Scenario: A 28-year-old G0P0, last menstrual period November 2, presents with amenorrhea. Urine pregnancy test is positive. Examination is normal. Bedside ultrasound demonstrates an early intrauterine pregnancy. After being given f…
Citation Perry JJ, Stiell IG, Sivilotti ML, et al. High-risk clinical characteristics for subarachnoid haemorrhage in patients with acute headache: prospective cohort study. BMJ. 2010;341:c5204 Resident Reviewer Carl Mickman Why this study…
Jammed fingers are a very common complaint in the emergency department, and while often sent home as soon as we verify they don’t have a fracture, there is another more serious complication that needs to be on our radar. Malle…
Back pain-related complaints account for millions of visits in emergency departments every year, and all of us have had patients that despite our best efforts aren’t satisfied with their pain control. Trigger point injections of local anest…
Testicular torsion is one of the most concerning diagnoses we can see in the emergency department, but a lot of the things we have come to accept as dogma regarding this dangerous diagnosis aren’t always as straightforward as board exams wo…
Citation Smith-Bindman, C. Aubin, J. Bailitz, et al. Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med, 371 (2014), pp. 1100–1110. Resident Reviewer Carl Mickman Why this study is important The use of no…
On December 4th the Department of Emergency Medicine hosted its 11th hands-on ultrasound course at Mount Sinai. Over forty participants practiced critical ultrasound skills on live models and simulators, guided by a dozen of our faculty and…
All of us have seen the acutely withdrawing opiate abuser during our times in the emergency department, however aside from a little bit of clonidine and enrollment in a methadone clinic, it can sometimes seem like our options are fairly lim…
Hyperglycemia is frequently seen in the ED. Practice variation is common in terms of glucose reduction for safe discharge. The question is does improving this number benefit our patients?? Study: Driver, B et al. Discharge Glucose…
