Remove ED Remove Information Remove OR
article thumbnail

High sensitivity cardiac troponins for ED chest pain evaluation (2022 ACC pathway)

ALiEM

Encourage your ED to set up an algorithm that you can follow based on your laboratory’s assay. Low-risk patients do not routinely require stress testing in the ED. You (or someone in your department) needs to know which assay your ED has, and use the appropriate values for that assay.

E-9-1-1 276
article thumbnail

SAEM Clinical Images Series: Spontaneous Eye Luxation

ALiEM

Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. The patient denied preceding trauma, rubbing her eyes/eye-lids, or any history of thyroid disease. References Kelly, E.W. and Fitch, M.T.

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

Clinical impact: Rather than arguing with the patient about the likelihood of this phenomenon occurring and whether this is a true allergy, the patient is informed that they do not need to immediately start treatment to receive care in the hospital. Clinical impact: The patient’s DVT ultrasounds were negative.

E-9-1-1 161
article thumbnail

SGEM#423: Where is the Love? Microaggression in the Emergency Department

The Skeptics' Guide to EM

Case: A 57-year-old Chinese woman presents to the emergency department (ED) with chest pain. Background: Patient experiences of care are associated with health outcomes and may impact perspectives of ED care and the patient recovery process.(1-5) 6-7) We looked at deaf and hard-of-hearing patients in the ED on SGEM#383.

article thumbnail

From Collision to Clarity: PECARN cervical spine injury prediction rule for injured children

ALiEM

A 10-year-old boy presents to the emergency department (ED) after a high-speed motor vehicle collision. The study enrolled 22,430 children, aged 0–17 years, presenting with blunt trauma across 18 PECARN-affiliated ED in the US. Case Scenario: What would you do? He complains of neck pain and is reluctant to move his head.

article thumbnail

Transcutaneous Pacing: Part 2

EMS 12-Lead

We will be using redacted information from different cases where paramedics attempted TCP in the field. Crew notifies the received ED of an incoming post-arrest patient and notes a sinus bradycardia on their monitor, as seen in Figure 2. Pacing was continued in the ED, with identical settings. Several learning points here.

article thumbnail

ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass?

ALiEM

Author information Maureen Nsofor, MD Pediatric Emergency Medicine Fellow Atrium Health’s Carolinas Medical Center | The post ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass? The amount of hydrogen cyanide in each kernel varies and ranges from 540 to 2,000 mg/kg [2]. Grinding or chewing the kernel increases toxicity [4].

OR 169