ALiEM

DECEMBER 18, 2023

A 19-year-old female with a past medical history of epilepsy presented to the emergency department for evaluation of rash and fever. Two days prior to presentation she began to experience fevers with a Tmax of 103°F. One day before presentation she developed a rash that began on her face and slowly spread down her body, now involving her palms. The patient endorsed associated pruritus and cervical lymphadenopathy with the rash.

Emergency Department 177

Emergency Department OR 177

EMergucate

DECEMBER 18, 2023

Answers: Question 1: PH = 7.58, that is severe alkalaemia. pCO2 = 20 mmHg, so we have respiratory alkalosis. Next we need to calculate the compensation.

130

130

Don't Forget the Bubbles

DECEMBER 18, 2023

“Okay team, we’ve been following the APLS algorithm for 30 minutes and have considered all reversible causes. This child has been in cardiac arrest for at least an hour and none of the interventions we have carried out have made a difference. The blood gas is incompatible with life. I think we should stop resuscitation. Does anyone have any objections?

CPR 131

CPR OR Ambulance 131

Life in the Fastlane

DECEMBER 18, 2023

Neil Long Button Battery Update 3.0 Want to know the latest on button battery management, prevention and immediate care? Look no further than our latest tox offering.

125

125

First 10 EM

DECEMBER 18, 2023

This is a guest post by Dr. Ross Prager. It was actually the first blog post on a new FOAMed project – SimpleSage – and I asked to cross-post it here because I think that, based on the quality, readers of First10EM will almost certainly be interested in following this new evidence based medicine project. […] The post How to create a focused and answerable research question appeared first on First10EM.

104

104

EMOttawa

DECEMBER 18, 2023

At this month’s PTM Journal Club, two topics were covered; the use of intranasal (IN) glucagon for hypoglycemia and preshospital triage of chest pain patients. Haamid et al. The post PTM Journal Club Recap: Hypoglycemia and NSTEMI Care appeared first on EMOttawa Blog.

ALS 57

ALS 57

REBEL EM

DECEMBER 18, 2023

A 55-year-old woman with a history of end-stage kidney disease on peritoneal dialysis presents due to abdominal pain. She has had pain and redness at the site of her catheter exit site. Physical examination is notable for 3 cm of erythema around the catheter exit, located in the lateral left lower quadrant, along with tenderness to palpation in a straight line extending medially 5 cm from the catheter exit site.

EMS 55

EMS ED ALS 55

EMDocs

DECEMBER 18, 2023

Authors: Maiya Cowan, MD (EM Resident Physician, Brown University/Rhode Island Hospital) and Andrew Beck, MD (EM Attending Physician, Brown University/Rhode Island Hospital) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (EM-CCM, Cleveland Clinic Foundation); Brit Long, MD (@long_brit) Case A 72-year-old female with a past medical history of hypertension and dementia presents to the ED (emergency department) via EMS (emergency medical services) with altered me

E-9-1-1 65

E-9-1-1 ALS Emergency Department Plasma 65