A 50yoM with h/o MI >5 years ago presents with a heart rate of 150, only complaining of palpitations, and otherwise normal vital signs. States he was told he had some type of arrhythmia in the past with similar symptoms, and was given a medication that quickly resolved the symptoms. The ECG is shown below. […]

This year AIUM is hosting its annual conference at the JW Marriott Desert Ridge Resort and Spa in Phoenix, AZ. The first offering by the Emergency and Critical Care Community of Practice was a great success. The conference proper hasn’t even started yet and the sessions have already started off with a bang. Moderator Bret […]

Many of our lectures reference the same pantheon of literature on ultrasound in the acutely hypotensive patient. For ease of reference here they are, with appropriate links to the original publications: UHP protocol Rose JS et al,  Am J Emerg Med 2001 (PMID: 11447518) Trinity Protocol Bahner D,  JDMS 2002 RCT of ultrasound in hypotension […]

Today’s pearl was inspired by Vincent Roddy A 38-year-old man presents to the emergency department 6 weeks after Roux-en-Y gastric bypass with recurrent abdominal pain, nausea, and bilious vomiting. He has had 3 total episodes during the past month, with each episode being more severe than the last. He describes the pain as a crampy, periumbilical pain relieved […]

 A 30yoM presents with a GCS of 7 after a trauma to the head, shallow respirations, saturating 100% RA, otherwise normal vitals. You decide that the patient needs to be intubated and begin preparing your equipment. You place the patient on high flow nasal cannula. Your attending asks that you hold your standard bag valve mask […]