The Ocular Anticholinergic Crisis

The Ocular Anticholinergic Crisis

Tox Call

A startling episode with an inconsolable, hallucinating two year old highlights a rare ocular emergency

Prophylactic Antibiotics for Epistaxis

Prophylactic Antibiotics for Epistaxis

Where’s the Evidence?

While the majority of cases do not require medical attention, epistaxis remains a common presenting complaint in the ED

Upstairs Downstairs

Upstairs Downstairs

Director's Corner

How many clinical shifts does your chair need to work in order to stay current with the department?

Five-Year-Old With Dysuria, Abdominal Pain and Incontinence

Five-Year-Old With Dysuria, Abdominal Pain and Incontinence

Soundings

New patient is a 5-year-old male with a history of recurrent UTIs

Sudden Illness After Dental Procedure

Sudden Illness After Dental Procedure

Visual Dx

A 28-year-old male presents to the ED with a chief complaint of chest pain, coughing and shortness of breath

Bicep Tendon Rupture

Bicep Tendon Rupture

The Popeye Sign

A 45-year-old-male presents with sudden onset of pain and significant swelling to his right arm

Leaving Las Vegas... Hopefully

Leaving Las Vegas... Hopefully

By Greg Henry, MD

Notes on the human condition, the laws of thermodynamics, and spandex

Understanding ACEP’s Clinical Policy on Seizures

Understanding ACEP’s Clinical Policy on Seizures

ACEP's 2014 Seizure Guidelines

Dr. Rhonda Cadena, a neurointensivist and emergency physician educator at UNC, breaks down the critical updates

Mid-Level Providers

Mid-Level Providers

Who they are, what they do, and why they’re changing emergency medicine

How to make sense of the puzzle and improve your practice

When Patients Lie

When Patients Lie

How to Spot Deception, What You Can Do, and Why it Matters

Accusing anyone of lying is serious business, but when that person is your patient, the stakes are even higher

Raves and Saves

Raves and Saves

Advanced Emergency Management at Mass Gatherings

EM is crucial at drug-fueled electronic dance festivals, like this month’s Electric Zoo in New York  

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Current Features

Ocular-Crisis-RMA startling episode with an inconsolable, hallucinating two year old highlights a rare ocular emergency.

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Current Features

Epistaxis RMEpistaxis is a common problem, with a lifetime incidence of about 60%. While the majority of cases do not require medical attention, epistaxis remains a common presenting complaint in the ED.

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Current Features
Crashcart RMEPM presents a weekly rundown of critical reads from around the web, along with commentary by EPM senior editors. This week, we look at stories from the recent increase in ED visits to the question of whether to screen for malnutrition in the ED.
 
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Current Features

Ketamine RMVersatile and safe, Ketamine can help with sedation, induction, asthma and pain. Can a shot of it even treat suicidality?

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White Coat's Call Room
Don't have as much time to do it as I used to, but I still post additional updates over at DrWhiteCoat.com if you're looking for more medical news from around the web. Enterovirus 68 is confirmed in seven states. Worried parents bring children to emerg... Read more
 
Management

UpstairsDownstairs RMHow many clinical shifts does your chair need to work in the trenches in order to stay current with what’s happening in the department?

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Ultrasound

Distended-BladderW RMNew patient is a 5-year-old male with a history of a circumcision three months ago for recurrent UTIs. His mom states he has been having intermittent generalized abdominal pain associated with dysuria and urinary urgency. Despite being potty trained since he was 3, he is now having urinary incontinence as well. There has been no fever or flank or back pain and he is otherwise healthy and not on any medications regularly. Mom states he sometimes starts crying from the pain.

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White Coat's Call Room
Think a patient is faking alcohol withdrawal tremors? Yeah. There's an app for that. Canadian researchers develop app that uses iPod's built-in accelerometer to determine whether or not tremors are more than seven cycles per second. 75% of true alcohol wi... Read more
 
White Coat's Call Room
Good news is that the number of medical malpractice cases in Pennsylvania is decreasing. Bad news is that if you practice medicine in the Philadelphia area, you've got a big target painted on your back. Philadelphia accounts for only 12 percent of the sta... Read more
 
White Coat's Call Room
I saw this while driving down the road recently. A person just tooling down a major roadwith their foot hanging out the window. What possesses people do drive with their feet out the window? I see it every once in a while from both drivers and pas... Read more
 
White Coat's Call Room
** CLEAR! ** Not dead yet. Having withdrawal symptoms from lack of blogging and actually violating a cardinal rule of blogging by posting from work. Now that travel is done and life is getting back to normal, will hopefully have more time to write. Sabr... Read more
 
White Coat's Call Room
Busier may be better* ... at least for for patients with life-threatening medical emergencies. When comparing very high volume emergency departments with very low volume emergency departments, a study in Annals of Emergency Medicine shows that patients wi... Read more
 

Popular Authors

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