The American Academy of Pediatrics has recently released new guidelines attempting to replace the term apparent-life threatening event (ALTE) with brief resolved unexplained event (BRUE). The term ALTE was somewhat subjectively defined and represented an event scary to an observer usually involving apparent apnea of an infant. BRUE is defined as an event occurring in […]

Scenario: The images from your patient’s non-contrast head CT are finally uploaded and it looks negative. Unfortunately, your patient has been having severe symptoms for almost 24 hours and you know this single study is not sensitive enough to rule-out a SAH. Have you ever informed your patient about the need for LP and have […]

In honor of 5/20/16, a day in which the Sinai ED managed three cardiac arrest patients in less than one hour, I wanted to post a pearl relevant to one of the cases we saw. Our initial goal during a Vfib arrest resuscitation is to optimize uninterrupted compressions and deliver a shock as soon as […]

The WHO declared a Public Health Emergency of International Concern on February 1st, 2016 due to the outbreak of microcephaly and Guillain-Barre Syndrome cases associated with the Zika virus. Here’s a quick review of what we do and don’t know: Where is it? Outbreaks have been seen in Southeast Asia, Africa, and the Pacific Islands. […]

     I could bullet point plenty of statistics, but I don’t think I have to convince you: there is an opioid epidemic and it is getting worse.       We all have treated patients for opioid overdose in the ED. We also frequently identify substance abusers who are at high risk for future […]