You are working in a rural ER in a mountain resort town. A family of four is brought in because they have headache, nausea and malaise without syncope or chest pain. Following a thorough history and physical examination you quickly note the cause of the illness is carbon monoxide (CO) poisoning from a faulty heat generator. The closest HBO chamber is 300 miles away.

Another extremely busy day, but you feel a small sense of achievement as you prepare to discharge an 87-year old man with mild lower leg cellulitis. Your euphoria quickly evaporates as the nurse tells you that several family members are concerned that the patient has recently been demonstrating increasing signs of cognitive dysfunction.

A helpful application of the Canadian C-Spine Decision Rule, or an onerous malpractice risk?

You recently read a debate on the new American Heart Association guidelines for CPR on the blog WhiteCoat’s Call Room. Not long after, your local EMS director asks for your opinion about the evidence supporting compression-only CPR (COCPR) for witnessed cardiac arrest victims outside the hospital.

As you polish off the documentation on your last five patients, the nurse for the closed femur fracture patient asks if you are ready for the pending reduction. Orthopedic surgery is patiently waiting, and the nurse has the Propofol that you requested at the bedside.

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