Browsing: Clinical

A climate assessment from November 2018 comprehensively measured the current and projected state of climate change and its effects on human health. It found what we as emergency physicians should alre
In April 2018, during my third year of residency, I completed a wilderness medicine educational trek to Mt. Everest base camp. The trip provided a glimpse of remote medical care in the Himalayan regio
A missed diagnosis of Wernicke encephalopathy (WE) can lead to Korsakoff syndrome, which carries a 20% mortality rate. Because this life-threatening condition can be easily misdiagnosed, it's importan
Patients with alcohol use disorder commonly present to the ED critically ill, with myriad underlying pathologies. Alcoholic ketoacidosis (AKA) should be considered in anyone with prolonged and/or bing
An 87-year-old female presents with generalized weakness for the past several days after a recent increase in her diuretic medication by her cardiologist.
Differentiating benign peripheral conditions from central nervous system lesions like strokes can be difficult. Enter the HINTS exam - the objective measure.
Spontaneous coronary artery dissection and Takotsubo syndrome rarely occur in the same patient at the same time - but when that patient appears, will you be able to act decisively?
Naloxone is a potent opioid receptor antagonist with an excellent safety profile and ability to reverse opioid-associated respiratory depression. Is it as effective when you're faced with patients in
If a patient presents with recent trauma, neck pain, headache or neck manipulation with signs or symptoms of stroke, cervical artery dissection should be considered.
While there are a number of quantitative and qualitative assessments that can be used to evaluate right heart function, 2 measurements in particular can help differentiate acute versus chronic right h