Bougie-Aided Cricothyrotomy

  A great video discussing   Bougie-Aided Cricothyrotomy By Darren Braude   Originally posted on the EMCrit blog by Scott Weingart     Want to read more…?              

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Mmmm….spicy

    A 22 year old male present to the ED with complaints of generalized flushing of the skin and associated urticaria which began within 20 minutes after he began eating at a new Sushi restaurant. Upon arrival he is diaphoretic, nauseated and dizzy with tingling to his lips and …

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Clinical Case: shortness of breath

  A 47 year-old female presents to the ED via basic life support ambulance with sudden onset of severe dyspnea after a witnessed choking episode while taking her daily medications. On arrival: Morbidly obese female sitting upright in the stretcher with a non-rebreather mask. She appears diaphoretic with severe dyspnea …

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I & D with no P ?

  Is routine packing of simple cutaneous abscesses necessary? This article suggests that it may be time to abandon the “that’s-the-way-we-do-it” mentality for abscess drainage.         On the topic of I&D, this next article discusses Minimally Invasive Technique in Treatment of Complex Subcutaneous Abscesses in Children. In …

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Visual Diagnosis # 2

  A 62 year old woman present to the emergency department with complaints of excruciating pain and swelling to her left leg over the past few days. She denies any history of trauma. Her PMHx is significant for a newly diagnosed metastatic non-small-cell lung cancer. Symptoms began 4 days ago …

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Figure 1 – Image of the Week # 1

  This photo was taken during a thromboendarterectomy for treatment of chronic thromboembolic pulmonary hypertension (CTEPH). Surgery is the only definitive therapy for this condition, which occurs in a small proportion of acute pulmonary embolism patients.                 Photo credit: Sean Love/Figure 1 Medical …

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Visual Diagnosis #1

A 40-year-old male reported to the emergency department with complaints of pain and swelling under the left eye and an ulcer on the roof of his mouth for the past 2 weeks. Pain was gradual in onset with swelling over the left maxillary sinus now causing nasal obstruction and edema …

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Ketofol: Are you ready for change?

            The ideal pharmacologic agent for procedural sedation and analgesia would provide an adequate level of sedation while minimizing pain and anxiety, maximizing amnesia, minimizing the potential for adverse drug-related events, controlling behavior, and maintaining a stable cardiovascular and respiratory status. Sound like the Holy …

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Pediatric Radiology Quiz #1

  A 10 year old female presents to the emergency department with complaints of left-sided hip pain over the past 2 weeks. The pain had been intermittent initially, but has gotten much worse over the past 2 days. Neither the child, nor her parents, can recall any trauma or recent …

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Marathon Monday

  A 32 yr old male limps into the emergency department with complaints of general malaise with severe myalgias and arthralgias. He had run the Boston marathon two days ago and began feeling sick yesterday with headache, myalgias, nausea and vomiting. His vitals signs are normal, but he appears clinically …

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Spice

Whether it’s labeled K2, Yucatan Fire, Skunk, fake or synthetic weed, “Spice”refers to a wide variety of herbal mixtures that produce psychoactive experiences similar to marijuana (cannabis).  These products were sold in gas stations, head shops and on the internet and were marketed as a “safe, legal, natural alternative” to marijuana. These products do …

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Altered Mental Status

  A 27 year old male is brought to the emergency department by paramedics after a bystander called 911 because he was staggering down the street with slurred incomprehensible speech. Upon arrival in the ED, the patient appears to have an altered mental status. The patient’s pupils (shown) are equal …

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