ALiEM

DECEMBER 9, 2024

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea. She lives with three roommates, none of whom were sick, and she denied any other known sick contacts.

Emergency Department 152

Emergency Department ACS EMS OR 152

St. Emlyn's

DECEMBER 9, 2024

St.Emlyn's - Emergency Medicine #FOAMed Explore key takeaways from the DAS 2024 meeting, including airway management in obstetrics, ethics of training, challenges in critical care, and international practices. Insights tailored for emergency and anaesthesia professionals. The post Difficult Airway Society Meeting 2024 appeared first on St.Emlyn's.

Critical Care 105

Critical Care 105

First 10 EM

DECEMBER 9, 2024

When managing hyponatremia, the primary concern (at least as far as I have always been taught) is osmotic demyelination syndrome. We are warned not to correct the sodium too quickly, because the neurologic outcome can be awful. However, demyelination is very rare, and apparently there is a lot of data that suggests correcting sodium too […] The post Big practice change coming?

103

103

EMDocs

DECEMBER 9, 2024

Authors: Noah Kronk, MS-4 (University of Missouri-Columbia); Jessica Pelletier, DO, MHPE (APD, EM Attending Physician, University of Missouri-Columbia, USA) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 30-year-old female presents to the emergency department (ED) with fever, fatigue, and an extensive rash. Five days prior, she began experiencing fever, headache, and myalgias, followed by swollen lymph nodes and a rapidly progressing rash.

ED 59

ED ALS OR Emergency Department 59

Don't Forget the Bubbles

DECEMBER 9, 2024

It is time to take a look at withdrawal syndrome and delirium and how to reduce them in children requiring intravenous sedation and analgesia within the Paediatric Intensive Care Unit (PICU). Isla is a 2-month-old infant in the PICU. She has been ventilated since birth as she was found to have an antenatal defect, which required surgical repair on day three of life.

ALS 59

ALS Critical Care OR ICU 59