ALiEM

DECEMBER 4, 2023

A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. Prior medical history is notable for end-stage renal disease on hemodialysis three times per week, but the patient has not been dialyzed in the past four days, hypertension, insulin-dependent diabetes mellitus, heart failure with reduced ejection fraction (59% two months prior), seizure disorder, prior pulmonary embolism (eight months prior), a left nephrectomy seven months ago

Emergency Department 152

Emergency Department OR 152

EMergucate

DECEMBER 4, 2023

14-year-old girl, COVID day 2, presented with delirium. Her venous blood gases showed the following: Ph = 7.

130

130

First 10 EM

DECEMBER 4, 2023

First10EM is wrapping up its 9th year in existence. There have been 453 blog posts to date, and I am getting very close to having written 1 million words in total, or the equivalent of 20 average length nonfiction books. (Actually, the stats don’t include static pages like the catalog of research bias, so I […] The post First10EM updates and audience survey appeared first on First10EM.

OR 97

OR 97

EMergucate

DECEMBER 4, 2023

Question 1: PH = 7.31, that is mild acidaemia PCO2 is high (51 mmHg). So we have respiratory acidosis.

OR 100

OR 100

EMDocs

DECEMBER 4, 2023

Author: Braeden D. Johnson, MD ( Community EM, Salina Regional Health Center) // Reviewed by: Joshua Lowe, MD (EM Attending Physician, USAF); Marina Boushra, MD (Cleveland Clinic Foundation, EM-CCM); Brit Long, MD (@long_brit) Case A 40-year-old woman presents to a rural emergency department (ED) with left leg pain and swelling for the past 5 days.

ALS 71

ALS Emergency Department ED OR 71