Emergency Medicine COVID Updates
The following is a summary of what I have learned from seeing COVID patients on the floor, in the ICU, and reading of the literature that may help with our acute ED management. TLDR summary is at the end if you can’t read through each bullet point. Updates 3/29 – Added section on HFNC (#2 […]
POCUS FTW DX HTP
HTP?! 1 in a… ok, not near a million, but still. The Bleeding Pregnant Patient P. Schmalbach, MD, PhD, E. Mizrachi, MH Raj, J. Reisner D. Dexeus, M. Richman Case A 25-year-old female G6P3A2 with LMP 6 weeks before arrival initially presented to the Emergency Department (ED) complaining of heavy vaginal bleeding, abdominal […]
Tamponade or No Tamponade: That is the question
Case An 87 year old female with a past medical history of untreated metastatic thyroid cancer presented with two weeks of gradually worsening anasarca, dyspnea, orthopnea and fatigue. Her ability to complete her activities of daily living had significantly decreased over this time. Her physical exam was significant for bilateral lung crackles, diminished heart […]
Don’t Forget the Gloves: Tox Tidbits #1 with Dr. Ernest Sliwinski
A 43-year-old woman with a past medical history of alcohol abuse presented with right 4th and 5th digit burns. She reported spilling…
Mysteries of the Gallbladder, Chamber of Echoes
A healthy woman presents to the ED with fever, emesis, epigastric pain, and right upper quadrant tenderness, but the gallbladder ultrasound shows no stones.
Can POCUS Rule Out Choledocholithiasis?
Can bedside ultrasound rule out choledocholithiasis? Dr. Jen Larson explores the question in this brief case discussion.
What kind of shock? Spinal shock?
You keep using that word. I do not think it means what you think it means. Would you like to specify whether our patient needs a rectal exam or a pressor? THIS IS SPINAL SHOCK.
MEDCRUSH Monday #01
An 18 year old male college athlete presents to the ED with a rash. What’s the diagnosis?
Case Report: Twinkle Twinkle Little Stone
An otherwise healthy woman presents to the ER with severe flank pain. This little known ultrasound artifact can sometimes pinpoint the cause.
Fournier Gangrene on Bedside Ultrasound
A 34 year old male with no past medical history presented to the Emergency Department (ED) due to 1 day of left scrotal swelling…
