60 Second EM

EM:RAP LIVE: COVID-19 Update | April 28th 2020   Join Drs. Ilene Claudius, Sara Crager, Peter DeBlieux, Kathy Garvin (RN), Mel Herbert, Jessica Mason, Sean Nordt, David Schriger, Stuart Swadron, and Anand Swaminathan for the latest in EM:RAP’s weekly COVID-19 coverage. During this week’s show we will get updates from …

  Is marijuana making your patient sick? The differential diagnosis for nausea and vomiting is very broad, including several gastrointestinal, peritoneal, central nervous system, endocrine, psychiatric, and metabolic causes. Given the recent rise in marijuana legalization efforts and an overall increase in the prevalence of marijuana use, it is becoming increasingly …

EM:RAP LIVE: COVID-19 Update | April 21st 2020 Join Drs. Susy DeMeester, Mel Herbert, Evie Marcolini, Jessica Mason, Sean Nordt, David Schriger, Jan Shoenberger, Stuart Swadron, Anand Swaminathan, David Talan, and Peter Viccellio for the latest in EM:RAP’s weekly COVID-19 coverage. During this week’s show we will discuss the latest …

EM:RAP LIVE: COVID-19 Update | April 14th 2020   Join Drs. Sara Crager, Thomas DeLoughery, Mel Herbert, Michael Katz, Amal Mattu, Sean Nordt, David Schriger, Stuart Swadron, Anand Swaminathan, and David Talan for the latest in EM:RAP’s weekly COVID-19 coverage. During this week’s show we will discuss the latest literature, …

EM:RAP LIVE: COVID-19 Update | April 7th 2020 Join Drs. Andrea Bertozzi, Vanessa Cardy, Sara Crager, Mel Herbert, Sean Nordt, David Schriger, Anand Swaminathan, Stuart Swadron, Amal Mattu, and David Talan for the latest in our weekly COVID-19 live events. We will review the latest literature, give you an update …

  Vaping is the act of inhaling aerosolized liquid from a device, sometimes called a vape pen or an e-cigarette. A vaping device consists of a mouthpiece, a battery, a cartridge for containing the e-liquid or e-juice, and a heating component for the device that is powered by a battery. The …

  A knee dislocation, not to be confused with a patella dislocation, is a rare, but potentially limb-threatening injury. Most often caused by high-velocity trauma, knee dislocations account for less than 1.2% of orthopedic trauma. Knee dislocations often result in injury to multiple cruciate ligaments of the knee, but can also cause neurovascular …

    The Q-T interval represents the time of ventricular activity including both depolarization and repolarization. It is measured from the beginning of the QRS complex to the end of the T wave. Normally, the QT interval is 0.36 to 0.44 seconds (9-11 boxes). The QT interval will vary with patient …

  Case: Parents bring a 2-month-old male infant to the emergency department for evaluation. Parents state the child “has been crying excessively over the past 24 hours and has been at times inconsolable.” Is this crying normal? The definition of normal crying originates from a 1962 article by T. Berry Brazelton, who determined …

  Case: 24 yr male with acute alcohol intoxication brought in by ambulance. While performing some parkour stunts he fell approximately 4 meters, landing on his feet. His only complaint is right foot pain. He denies neck, chest, abdominal, back or pelvic pain. His vital signs are stable. After your …

  Tick paralysis can occur worldwide and is associated with over 40 different species of tick. Tick paralysis occurs when an egg-laden female tick produces a neurotoxin and transmits it to its host during feeding.  Unlike other tick born diseases suck as Lyme disease, ehrlichiosis, and babesiosis which are caused …

Carfentanil or carfentanyl (Wildnil) is a synthetic opioid and an analogue of fentanyl.  It has a potency that is 10,000 x greater than morphine and 100 x greater than fentanyl. It is marketed under the trade name Wildnil and is commonly used as a general anesthetic in elephants, horses, and other very large …

  Case: You are walking through the airport terminal when you notice a commotion and group of people standing around an unconscious middle-aged female. You run over and identify yourself as a trained emergency provider and assess the patient. She is unresponsive and not breathing. There are no signs of …

  Case: 54 yr M with a history of rectal cancer and type II diabetes presents to the emergency department with pain and erythema to the left buttock.  Symptoms began last night with minimal irritation and he initially thought he had a rash. He awoke this morning with worsening pain, …

    The term ALTE in pediatrics had previously referred to apparent life-threatening event. This event was characterized by some combination of apnea, color change, change in muscle tone, choking or gagging and was also witnessed by and distressing to a caregiver. This was the definition from the National Institute of …

  When interpreting a chest x-ray it is important to have a systematic step-by-step approach. It is critical to be able to identify the basic anatomy on a chest x-ray.   One helpful way is to use a mnemonic. One popular mnemonic is DRS.ABCDE D – Details  Date, patient name and date …

  Ectopic pregnancy is a pregnancy which implants outside the endometrial cavity. These pregnancies will ultimately result in the death of the fetus. An ectopic pregnancy is an abnormal pregnancy which, without timely diagnosis and treatment, can become a life-threatening situation. 2% of all US pregnancies are ectopic and 98% of ectopics …

  A 14 yr male presents with pain and swelling to the left eye. Mother states he recently had a mild illness with cough and sinus congestion within the past 2 weeks. Over the past 3-4 days he has developed left eye pain and swelling.  He currently has a fever …

    Dyspnea is defined as abnormal or uncomfortable breathing in the context of what is normal for a person according to his or her level of fitness and exertional threshold for breathlessness. Dyspnea is a common symptom and can be caused by many different conditions. Dyspnea can be acute …

    Fluoroquinolone antibiotics already carry warnings about the risks of QT prolongation and torsades de pointes, tendonitis and tendon rupture as well as central nervous system effects, including peripheral neuropathy and exacerbation of myasthenia gravis. The FDA had recently updated the labels to state that “the serious risks posed by fluoroquinolones …