ALiEM

NOVEMBER 13, 2023

A 57-year-old female college counselor living in the northeastern United States with no PMH presented for evaluation of rash, joint pain, and dyspnea for the past three weeks. The patient first noticed the rash on her upper back, describing it as being itchy. The rash then spread to her face, scalp, and thighs. Two weeks ago, she noticed swelling in her hands and had a gradual onset of dyspnea on exertion.

OR 200

OR 200

Core EM

NOVEMBER 13, 2023

The primary survey in trauma management is a critical initial assessment to identify and address life-threatening conditions. It follows the ABCDE approach: Airway maintenance with cervical spine protection, Breathing and ventilation, Circulation with hemorrhage control, Disability (neurological status), and Exposure/Environmental control. This systematic method ensures prompt identification and immediate treatment of urgent medical issues, enhancing the chances of survival and recovery in traum

130

130

EMergucate

NOVEMBER 13, 2023

The chest x-ray is from an elderly patient with septic delirium. What can be noticed?

EMS 130

EMS 130

First 10 EM

NOVEMBER 13, 2023

After a recent talk entitled “Mastering Diagnosis”, Casey Parker and I sat down to discuss a few of the key points I was trying to make. Although this might be one of the nerdiest talks I have ever given, based entirely around math, I think it is one of the most important, because we cause […] The post Mastering Diagnosis VodCast appeared first on First10EM.

86

86

EMergucate

NOVEMBER 13, 2023

The knee x-ray shows a Segond fracture with knee effusion.

EMS 130

EMS 130

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? Distal forearm fractures are common in children and adolescents, but the best method for diagnosing them is still debatable. X-ray (radiography) is the standard imaging technique used in emergency departments. However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation.

Emergency Department 64

Emergency Department OR 64

EMergucate

NOVEMBER 13, 2023

The frontal chest x-ray shows a dislocated left shoulder.

EMS 130

EMS 130

Ambulance Driver Files

NOVEMBER 13, 2023

Broke 100 laps in the pool again today. Did 103 laps in 90 minutes. Even better, that average heart rate was down to 92 in one minute, and 72 in ten minutes. That’s pretty damned good cardiovascular recovery for an athlete, much less a fat guy trying to get in shape.Weighed in at 348.7 pounds.

Ambulance Driver 52

Ambulance Driver Ambulance 52

ACEP Now

NOVEMBER 13, 2023

Physicians, nurses, and staff in emergency departments (EDs) across the country have encountered workplace violence for years. According to federal labor statistics, the prevalence of workplace violence in health care is increasing (see Figure 1). While staff exposure to this violence varies, literature shows nurses are most frequently exposed, with up to 90 percent having experienced workplace violence in their ED careers. 1,2 In a 2018 study by ACEP, nearly half of emergency physicians polled

Emergency Department 52

Emergency Department Emergency Response ED ALS 52

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. Cambron, DO (EM Attending Physician, TX) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 37-year-old male presents to the emergency department with a severe, unrelenting headache that started su

E-9-1-1 86

E-9-1-1 ALS Emergency Department ED 86