Clinical Pearls

• Diphenhydramine Overdose in the ED

  Image Credit: Flickr Andrew Ranta Author: Kaylinn Dokken, OMSIVWestern University of Health Sciences You are just at the beginning of your shift when paramedics call in and notify you that they are bringing in a 35 year old female who reports that she took 3,000 mg of diphenhydramine in a suicide attempt. Her BP is […]
• Clonidine Toxicity: A Brief Review

  Image Credit: Flickr Pranjal Mahna Author: Matt Rosen, MSIVGeorgetown School of Medicine This post was peer reviewed.Click to learn more. Background: Clonidine was once a popular antihypertensive agent, and while its use as a primary blood pressure agent has declined, it continues to have a role in hypertension management for some patients. Clonidine is also […]
• Retinal Detachment: What You Need to Know

  Image Credit: Subhadra Jalal – Flickr Author: Stephanie Cihlar, MSIIIMedical StudentLoyola University Chicago Stritch School of MedicineAAEM/RSA Publications Committee Member This post was peer reviewed.Click to learn more. Introduction Retinal detachment is one of the most common ophthalmic emergencies, affecting approximately 1 in 10,000 people per year.[1] Because of the risk of permanent vision loss, […]
• Maisonneuve Fracture – A can’t miss diagnosis!

  Author: Benjamin Lindquist, MD This post was peer reviewed.Click to learn more. Chief Resident Stanford/Kaiser Emergency Medicine Residency A 50 year-old male pedestrian presented to the emergency department by ambulance after having his left foot struck by a bicyclist while the foot was firmly planted on the ground. He complained of severe pain to his […]
• Five Things to Keep in Mind When Treating an Asthmatic

  Image from Alan Levine This post was peer reviewed.Click to learn more. Author: Puja Gopal, MD Emergency Medicine ResidentUniversity of Illinois at ChicagoAAEM/RSA Publications Committee Member Asthmatic patients present along a broad spectrum of severity. There are those who present with mild wheezing, have complete resolution with a single neb treatment, and go home with […]
• Pre- and Post-Intubation Issues and Solutions

  Photo Credit: Borls Ott – Flickr This post was peer reviewed.Click to learn more. Author: Andrew V. Bokarius, MDEmergency Medicine ResidentUniversity of Chicago There are a number of issues that may come up prior to, during, and after successful intubation. Let’s take a look at a few common problems and possible solutions.  Pre-intubation: Can’t mask […]
• A Cannot Miss Cause of Bradycardia

  This post was peer reviewed.Click to learn more. Author: Daniel Balk, MD Emergency Medicine Resident Drexel University College of MedicineThe Case: The tech hands the physician this EKG: It’s slow with a rate of 37, it’s irregular, it’s wide with a QRS of 130, it’s scary, and there is no previous EKG. The tech doesn’t […]
• Psychiatric Complaints in the ED — What to Keep in Mind

  Author: Victoria Weston, MD AAEM/RSA President Originally Published: Common Sense, September/October 2015 A familiar scene in many emergency departments: you are on a busy overnight shift. You have just finished caring for a trauma patient and your part of the ED is filled with high-acuity patients. You see that a new “crisis” patient has been […]
• Tourniquet Application for Isolated Extremity Injuries

  Image Credit: Staff Sgt. Terri Reece Author: Kaylinn Dokken, OMS4 Western University of Health Sciences This post was peer reviewed.Click to learn more. As we walk onto the scene wearing our bulletproof vests, we see a spray of blood up the white wall of the apartment, leading us to our patient. He is holding direct […]
• Recovering from Leg Day: Rhabdomyolysis in the Emergency Department

  Image Credit: Image from James Heilman, MD This post was peer reviewed.Click to learn more. Author: Jeffrey Chen, MSIIIUniversity of California San Francisco Case: A previously healthy 18-year-old male comes in to the pediatric emergency department complaining of severe bilateral soreness and weakness of quadriceps and dark tea-colored urine for 1 day. Yesterday at the […]

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