Browsing: Clinical

Critical Care , Critical Care Alert

Critical Care Alert: Hydrocortisone plus Fludrocortisone for Adults with Septic Shock (APROCCHSS)

9/10/2018 Sean M. Hickey, MD

Can the use of hydrocortisone plus fludrocortisone and/or drotrecogin alfa improve clinical outcomes in patients with septic shock?

ECG Challenge , Cardiology

ECG Challenge: August 2018

8/19/2018 Kaela Reinert, MD , Jeremy Berberian, MD

An 89-year-old female with atrial fibrillation presents with altered mental status. What is your interpretation of her ECG?

Gastroenterology , Urology

Case Report: Synchronous Obstructive Ureterolithiasis and Acute Diverticulitis

8/19/2018 Brunilda Prifti, MD , Chadd E Nesbit, MD, PhD

Abdominal pain is not an uncommon presentation - but in this case it revealed an unusual diagnosis.

Visual Diagnosis

Diagnose This Condition

8/19/2018 Ali Rashidbaigi, MD , Omid Rashidbaigi, MSIV , Darren Cuthbert, MD, MPH

A 53-year-old man presents to the ED for worsening pain associated with a longstanding whole-body rash. He states that 2 years ago a small blemish started on his chest, and it spread to involve predom

International EM , Simulation

Simulation Outreach: Bringing Continuing Education to East Africa

8/19/2018 Katelyn Banks, MD , Caroline Brady, MD , Heather Brown, MD, MPH, FACEP

International medical electives are becoming increasingly popular among EM residents as programs take the initiative to provide a valuable educational experience for their residents while ensuring tim

Sports Medicine , Orthopedics

Anterior Cruciate Ligament Rupture

8/19/2018 Andrew Pugh, MD , Spencer Tomberg, MD

Working in a busy ski clinic brings a variety of sports medicine injuries into focus. When your patient is a downhill skier, knee injuries are the most common injury you'll see.

Pediatric EM , Neurology

Flaccid Paralysis in a 7-week-old Infant

8/19/2018 Yagnaram Ravichandran, MBBS, MD, FAAP , Amy DeLaroche, MBBS

Flaccid paralysis of the bilateral lower extremities in infants can be the presenting feature for a variety of diseases.

Nephrology

Management of Hyperkalemia in the ED

8/18/2018 Jonathan Hilton, MD , Laura Stone Ellis, MD , Jeremy Berberian, MD

Hyperkalemia is generally defined as a potassium level > 5.5 mEq/L and can be further classified as mild (5.6–6.0 mEq/L), moderate (6.1–7.0 mEq/L), and severe (> 7.0 mEq/L). Etiologies frequently seen

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OB/GYN

Approach to Postpartum Hemorrhage

8/18/2018 Amanda Deutsch, MD , Rohit B. Sangal, MD , Rebecca Feldman Hamm, MD

Postpartum hemorrhage is the leading cause of maternal mortality worldwide. Knowing the risk factors can help make sure you're prepared before it becomes life-threatening.

Critical Care

Massive Hemoptysis

8/18/2018 Utsha Khatri, MD , Brian Weiss, MD

Consensus is lacking on specific thresholds to characterize massive hemoptysis because these numbers can be challenging to reliably obtain and fail to predict the severity of disease.