- Written by Ethan Abbott
A clinical question relevant to the practice of emergency medicine posted each week.
A 75 yo male with a PMH of HTN, HLD, DM, and PVD presents to the SBH emergency department with slurred speech and right sided weakness x 2 hours. He is awake and alert on arrival with a glucose of 122. The patient undergoes a non-contrast CT of the brain which is unremarkable. In consultation …
- Written by Ethan Abbott
A clinical question relevant to the practice of emergency medicine posted each week.
An 45 yo male patient presents to the SBH Emergency Department 3 days after undergoing chemotherapy for treatment of lymphoma. The patient complains of fatigue, muscle cramping, generalized weakness, and palpitations. You suspect tumor lysis syndrome. You immediately order an EKG and start IV fluids. What are the four most common laboratory derangements seen in …
- Written by Ethan Abbott
A clinical question relevant to the practice of emergency medicine posted each week.
An article in the New York Times reported that athletes with Nike’s “Oregon Project have allegedly been using infusions of L-carnitine to enhance their performance during long distance running events. What is L-carnitine and what are its therapeutic uses in emergency medicine? Scroll down for the answer Carnitine (the L-isomer is only found endogenously) …
- Written by Ethan Abbott
A clinical question relevant to the practice of emergency medicine posted each week.
For this week’s question: A 25 yo male with no PMH presents the SBH ED 2 with a painful “spider bite” on his left arm that has been present for 3 days. The patient reports pain, redness, and swelling at the site. He has attempted to open up the lesion with a needle, but without …
- Written by Ethan Abbott
A clinical question relevant to the practice of emergency medicine posted each week.
Sorry for the late post!! For this week’s question: High sensitivity troponin assays have been recently approved by the FDA for use in the United States. What is a high sensitivity troponin assay and how does it differ from a conventional troponin assay? What are the advantages and disadvantages of this assay? …
A clinical question relevant to the practice of emergency medicine posted each week.
Welcome to another exciting edition of the SBH EM Residency Question of the Week! A 45 yo male with a PMH of DM, HTN, and HLD presents to SBH ED with a swollen first digit. He recalls puncturing his finger with a tool he was using to repair his motorcycle. You suspect that patient has …
- Written by Ethan Abbott
A clinical question relevant to the practice of emergency medicine posted each week.
A 72 yo male with a PMH of CAD, s/p stents, HTN, DM, and HLD presents in cardiac arrest. Despite multiple attempts at defibrillation, several rounds of medications, and CPR, the patient remains in refractory ventricular fibrillation. Your attending proposes setting up for “double external simultaneous defibrillation.” What is this? Scroll down for answer …
- Published: 05 Mar 2018
A clinical question relevant to the practice of emergency medicine posted each week.
Question: Use of intranasal medications such as midazolam, ketamine, fentanyl, naloxone, dexmedetomidine in the emergency department and by EMS are increasing, especially in patients with difficult or no IV access, actively seizing patients, opioid overdoses, or in pediatric patients. How does the intranasal route work from a pharmacological standpoint? What is the typical dosage of …