1. A 14 month old child is brought into the ED for fevers, vomiting, diarrhea x 4 days. Stools are watery and nonbloody. The infant appears nontoxic and well hydrated. The patient attends day care. What is the most likely diagnosis? a) Campylobacter b) Rotavirus c) Shigella d) Salmonella e) Norwalk virus 2. A 3 […]

 A 14 y/o M presents to the ED complaining of severe intermittent low abdominal pain x 2 hours. His symptoms began after he awoke from sleep to urinate, and have been unremitting since. No history of trauma. He vomited once, 20 minutes prior to arrival. His abdominal exam is benign. He appears very uncomfortable and […]

Requested by Dr. Strayer as written by Dr. Porat – “As EMS was puling up someone came into the trauma bay and yelled “he just lost his pulse.” This gave me time to grab the thoracotomy tray and open it up. These extra 2 minutes gave me time to open the tray, remind myself what […]

You get a patient in triage with an anterior shoulder dislocation that happened 10 minutes prior to arrival. It’s happened to him multiple times on the same shoulder and all he did to dislocate it was to push up from a chair. You really want to get it reduced quickly because you are smart enough […]

We’ve all experienced it. There’s an intubated patient who is stable, saturating >98% on pulse ox, and then all of a sudden you hear the monitor start alarming and the SpO2 is plummeting. Lets assume that all other vitals are unchanged and no vent alarms are going off. Nothing on exam has changed except for […]