A 10 y.o f presented to the ED with a rash. The patient had a recent history of several days of tactile fevers as well as URI like symptoms per the mother that resolved, but then a rash began to develop. The rash was initially on the patient’s back but then began to spread diffusely …
On a bright sunny morning, a 55 y.o. male uncomfortably staggers into the ED. He is escorted by his cardiac rehab nurse who notifies the ER staff that the patient had a recent cardiac stent placed in the proximal LAD. The patient had chest pain earlier in the day at cardiac rehab that progressively became …
A 75 y.o m not on blood thinners presents for epistaxis. He states that for the last 2 hours, he has had bleeding from his bilateral anterior nares. He attempted to hold pressure at home without resolution. He feels a slight trickle of blood down his posterior pharynx, but denies any difficulty breathing or speaking. …
A 38 year old female with no PMH presents from home by EMS with AMS. The patient's last known normal was 4 hours PTA. EMS reports that family says she was initially screaming out in pain and screaming "help me" for about 30 minutes before EMS was called. Family did report mild headache for the …
The post below was reviewed and edited by the guest lecturers Dr. Wiegand and Dr. Nacca from the University of Rochester toxicology department. Flumazenil is a nonspecific competitive antagonist of the benzodiazepine receptor, which can be used to reverse benzodiazepine-induced sedation following general anesthesia, procedural sedation, or overdose. However, the use of flumazenil in the …
Dyspnea and syncope are common complaints seen in the ED. Most of us would not hesitate to add acute coronary syndrome or pulmonary embolism to the differential, but pulmonary hypertension with right heart failure is a differential frequently left off of that list. Although not as common as some of the other causes of dyspnea, missing …
With spring in the area, the temperature is warming up and maybe that bambi remake announcement was the final push needed to get people out on the trails and hiking through the hills again. With the increased traffic through the woods comes the inevitable presence of those freeloaders that hop on for a lift and …
Continue reading Bread and Butter EM: Tick for tat, Which Tick is that?
Bronchiolitis is a diagnosis frequently made in the setting of the emergency department and a major cause of illness in infants and children less then 2 years of age. It is most commonly a result of viral infection, typically respiratory syncytial virus (RSV) and is more common in winter months. It is characterized by upper airway …
A 51 year old male presents for altered mental status. On arrival to the emergency department he was agitated, diaphoretic, and was having hallucinations requiring sedation with benzodiazepines for patient and staff safety. Post sedation he was noted to have worsening diaphoresis and tachycardia and was having intermittent myoclonic jerking movements. Family was with the …
When patients come to the ED and are diagnosed with pneumonia, it can be confusing to figure out which antibiotics to administer. Previous thinking separated community acquired pneumonia (CAP), hospital acquired pneumonia (HAP), and health-care associated pneumonia (HCAP). However, health-care associated pneumonia has been dropped from the newest treatment guidelines published in 2016 because studies …
AOMC FOAMed 
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