Ethical Dilemmas During the Global Health Elective
The Other Side of the Looking Glass The blood will not stop flowing. Marked with many of the sequelae of late-stage AIDS, my 19-year-old HIV-positiv
In Shock: The Approach to Pediatric Sepsis
Introduction and Sepsis Review Whether in a pediatric or adult patient, the physiologic process of sepsis remains the same. Sepsis is a systemic inflammator
Solo Sodium: Emergent Management of Symptomatic Hyponatremia
 A 62-year-old Hispanic male is brought in by EMS for altered mental status and new onset seizure. On arrival to the emergency department
Three-in-One: The Forearm Nerve Block
A 29-year-old carpenter rushes into your emergency department with a 6 cm laceration on the palmar aspect of his hand after mishandling a power saw. The lacerati
Resuscitation and the Humeral Intraosseous Line
A lethargic 56-year-old female with a history of end stage renal disease and intravenous drug use presents with hypoglycemia and severe hypotension. De
Opinions and History on Laryngoscopy
As Kleenex ® has evolved to relate to facial tissue, video laryngoscopy (VL) has become a descriptor for any use of a laryngoscope device with a video camera on i
Stroke Alert: Beyond the Non-Con
A 60-year-old female presents to the ED with altered speech and decreased responsiveness that began less than one hour ago. Outside of a resolving hypoxia, all vital
The Value of Variety
The knowledge base required for clinical expertise in emergency medicine is immense. Even after decades of practice, it is still routine to hear seasoned emergency physicians mak
Short of Breath Short List
The diagnosis of cardiopulmonary pathology in a pregnant patient presenting with dyspnea and/or chest pain can be an arduous task given the physiologic changes of pregnancy
Thrombolytics for Pulmonary Embolism in Pregnancy
A 32-year-old pregnant woman at 30 weeks gestation is brought to the emergency department. Earlier in the day she had a sudden onset of shortness of