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Malignant Catatonia

Core EM

One week prior to ED arrival, the patient was becoming progressively despondent, less interactive with peers, exhibiting slow speech and movements, and was not eating. Patient Case: History: A 60-year-old male with history of schizophrenia and depression on multiple unknown antipsychotic medications presents with unresponsiveness x 1 day.

MICU 246
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Something Winter This Way Comes

EMS 12-Lead

MICU transport was unremarkable. The ST changes went overlooked by both the ED physician and the on-call cardiologist, and the patient was subsequently admitted to telemetry. There was no obvious pallor, diaphoresis, or dyspnea, and he denied any prior episodes of vomiting. But the lesion is still active!

MICU 130
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The EvK Trial: Ketamine vs Etomidate for Rapid Sequence Intubation

REBEL EM

All intubations were performed on hospitalized patients, limiting application to the ED population. What They Did Prospective, randomized 1:1, parallel-assignment, open-label, single-center trial Randomization process: Sequentially numbered opaque, sealed envelope in blocks of 8 that directed the team to use either etomidate (0.2

MICU 52
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Don’t stress, it’s just an ECG…

Core EM

The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. The ED team emergently notified cardiology and loaded her with aspirin, ticagrelor, and heparin. High-sensitivity troponin peaked at 61 and BNP was normal.

Coronary 130