Tue.Jan 09, 2024

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Lab case 434

EMergucate

20 year old epileptic woman presented to the emergency department after polypharmacy overdose.

Overdose 130
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A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The last echocardiography 12 months ago showed HFmrEF. She presented to the emergency department after a couple of days of chest discomfort.

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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

REBEL EM

Bottom Line Up Top: In patients with infectious processes that are stable for discharge home, there is no role for giving a first dose of antibiotics IV in the ED. Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Her vitals are: HR 115, BP 120/80, Temp 102.8, O2 Sat 99% on RA, RR 18. A CXR demonstrates a right middle lobe opacity.

ALS 100
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emDOCs Podcast – Episode 92: Marine Ingested Poisons and Infections

EMDocs

Today on the emDOCs cast, we have a special guest, Alexis Koda, core faculty at the Nazareth Emergency Medicine Residency program in Philadelphia, PA. Alexis takes us through marine ingested poisons and infections. Episode 92: Marine Ingested Poisons and Infections Scombroid Pathophysiology: Fish from family Scombroidae Tuna , mackerel, skipjack, bonito Dark-meat fish Herring, bluefish , anchovy, sardine, amberjack, black marlin, and mahi mahi Histidine decarboxylase produces histamine and hista

ED 82
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Jack Barnes and the Irukandji Enigma

Life in the Fastlane

Chris Nickson Jack Barnes and the Irukandji Enigma In 1961, Jack Handyside Barnes, his nine year-old son, and a local surf lifesaver were rushed to Cairns Base Hospital after developing Irukandji syndrome.

52
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Case Report: A Child with a Rash and Lead Poisoning History

ACEP Now

A 3-year-old male was brought to the emergency department (ED) by his mother, who reported the sudden onset of a rash (hives) covering his entire body, with no rash on his palms and soles. No other complaints were noted. The child’s skin appeared warm and dry. A review of systems revealed no abnormal findings. Vitals were within normal limits, with a pulse of 129, respiratory rate of 25, and oxygen saturation of 98 percent.

E-9-1-1 52
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Improving Emergency Care For Individuals Experiencing Homelessness

CanadiEM

Editor’s Note: This is part 1 of a 2 part series on patients with homelessness. Stay tuned for Part 2 which will deal with the intersection of homelessness and opiate drug use. A 29-year-old male named Billy presents to your emergency department with a 4-day history of progressive leg tenderness. On exam, you note a poorly demarcated area of erythema on the leg which is warm and tender to the touch, suggestive of.