Outside of early defibrillation and high-quality CPR, little has been shown to improve outcomes in out-of-hospital cardiac arrest (OHCA). In theory, rapid identification of the underlying cause of arrest can be beneficial. Point-of-care ultrasound (POCUS) has been adopted into cardiac arrest care by many emergency clinicians for this reason.
Dr. Riddhi Desai discusses three clinical conundrums regarding nail bed injuries.
By Duncan Grossman, DO
Pericardial effusions and pericardial tamponade can be caused by multiple mechanisms (e.g.,traumatic, infectious, inflammatory, etc.)
This post first appeared on REBEl EM [Link is here] Background: Chest pain is the second most common reason for presentation to the emergency department (ED) and accounts for nearly 6.5 million visits each year.  Management often requires the utilization of clinical gestalt, laboratory analysis, diagnostic imaging, and clinical prediction rules. Clinical decision instruments (CDIs) …
Have you considered age when determining whether a resuscitative thoracotomy (RT) is indicated? You’re not alone; over 1/3 of trauma surgeons surveyed consider age before performing a RT.
By Duncan Grossman, DO
A highlight of the key points from out core faculty at Saint Joseph’s Regional Medical Center Emergency Medicine Residency Conference.
Chief Resident EJ Wright and Core Faculty Anand Swaminathan provide helpful insight on how to crush your EM rotation.
Pelvic trauma is associated with high morbidity and mortality. Prompt recognition and treatment of pelvic injury in the trauma patient is key. Stabilization of both patient & pelvis are paramount.
A highlight of Saint Joseph’s Regional Medical Center July emergency medicine conference.
A 68-year old obese female with a past medical history of osteoarthritis, diabetes, and cervical spinal fusion presents to the Emergency Department (ED) complaining of generalized weakness for the last week. In addition, she reports that she had cold symptoms approximately one week before the onset of her weakness. Upon further questioning, the patient also reports numbness and tingling of her bilateral lower extremities. The review of systems is otherwise negative.
A 15-year-old female, with no past medical history, presented to the pediatric emergency department with cough and fever after being discharge with a diagnosis pneumonia two days prior. A chest x-ray on her first visit showed a single left lower lobe infiltrate and she was subsequently prescribed amoxicillin for suspected community acquired pneumonia (Figure 1). Upon return to emergency department, the patient complained of worsening symptoms, including dysphagia, secondary to sores in her mouth that developed after being discharge.
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