Clinical Pearls
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Scrotal Swelling in the Neonate
This post was peer reviewed.Click to learn more. Authors: Benjamin Lindquist, MDEmergency Medicine Chief ResidentStanford/Kaiser Emergency Medicine Residency Cameron McClure, MD FACEPEmergency PhysicianThe Permanente Medical Group, Santa Clara, CA Jamie Chang, MD MBAEmergency PhysicianThe Permanente Medical Group, Santa Clara, CA A 21-day-old previously healthy male was brought to the emergency department by his parents approximately […] -
“A Whole Herd of Zebras:” Anti-NMDA Receptor Encephalitis
This post was peer reviewed.Click to learn more. Author: Jonathan Morgan, OMSIIIMedical StudentLake Erie College of Osteopathic Medicine-Bradenton Background In 2005 neuro-oncology researchers at the University of Pennsylvania first described a strange neurologic syndrome, found in a group of young women with ovarian teratomas, which consisted of acute psychosis followed by the development of motor […] -
Management of Open Fractures in the Emergency Department
This post was peer reviewed. Click to learn more. Author: Bill Mulkerin, MD Stanford/Kaiser Emergency Medicine Residency Open fractures often result from high-energy impacts, such as motorcycle crashes, motor vehicle collisions, and pedestrians being struck by motor vehicles.[1,2] These injuries are usually associated with poly-trauma.[1] Up to 9% of open fractures result in compartment syndrome.[3] […] -
Updates on LBBB and STEMI
This post was peer reviewed. Click to learn more. Author: Meaghan Mercer, DO Emergency Medicine ResidentUniversity of Nevada School of MedicineAAEM/RSA President I recently attended the #Resus14 conference in Las Vegas and Dr. Amal Mattu asked the audience how many felt comfortable with the Sgarbossa criteria. I was surprised at how few hands went up. […] -
Determining Brain Death: Updated Guidelines and Ancillary Testing
This post was peer reviewed. Click to learn more. Author: Sean Weaver, DO MPH Emergency Medicine Resident University of Nevada, School of Medicine The following blog post appeared initially at www.lasvegasemr.com/foam-blog and is reproduced with the permission of the author. IntroductionLast week we reviewed the original 1995 criteria for declaring brain death. This week we […] -
Determining Brain Death: Legal Definition and Original Guidelines
This post was peer reviewed. Click to learn more. Author: Sean Weaver, DO MPH Emergency Medicine Resident University of Nevada, School of Medicine The following blog post appeared initially at www.lasvegasemr.com/foam-blog and is reproduced with the permission of the author. Introduction Brain death accounts for 1-2% of all deaths in the United States.[1] Patients will […] -
ARDS: Early Ventilator Settings Matter
Author: Sean Weaver, DO MPH Emergency Medicine Resident University of Nevada, School of Medicine The following blog post appeared initially at www.lasvegasemr.com/foam-blog and is reproduced with the permission of the author. A 40y/o male with no known significant PMH presents with non-productive cough, SOB, DOE, diarrhea, and possibly fever though he is not sure. He […] -
Analgesia for Acute Abdominal Pain in the ED
Author: Ken Young, MS4Loyola Stritch School of Medicine While this post may involve less new information and more beating of dead horses, two recent experiences have reminded me of what I found to be an interesting concept in medicine — the belief that pain medications interfere with diagnosis in acute abdominal pain. Recently, a friend […] -
Acute Severe Upper Airway Obstruction in Children
Author: Shane R. Sergent, DO Upper airway obstruction (UAO) is potentially problematic in any population, but the incidence is more common in children given that they have small compliant airways. UAO in newborns is frequently from congenital abnormalities. In contrast, infants and young children have a spectrum of differentiated causes, the most common being acute […] -
Management of Hemophilia Patients in the Emergency Department
Original Author: Nayma Casamayor, MSII, Universidad Iberoamericana (UNIBE) Submitted by: Sepi Jooniani, MD, MPH (Blog Editor for the month) Introduction to HemophiliaThe term Hemophilia encompasses a group of hereditary genetic disorders that alter homoeostatis, wherein to due certain deficiencies in the clotting cascade, the human body is rendered inept at controlling bleeding from an ulcerated […]
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