ACMT Toxicology Visual Pearls: The Kitchen Cabinet High

By |Categories: ACMT Visual Pearls, Expert Peer Reviewed (Clinical), Tox & Medications|

What is the primary toxin in the substance above? Solanine Myristicin Lysergic acid amide Phytolacca toxin [+]

Steven M. Perry, MD

Steven M. Perry, MD

Emergency Medicine Resident
Atrium Health’s Carolinas Medical Center, Charlotte, NC
Steven M. Perry, MD

Latest posts by Steven M. Perry, MD (see all)

Top 3 SOAR Blog Posts on Pediatric Respiratory Infectious Disease

By |Categories: Expert Peer Reviewed (Clinical), Infectious Disease, Pediatrics, Pulmonary|

There has been a well-documented growth in the use of FOAM in graduate medical education [1-4]. The decentralized nature of FOAM along with concerns with the lack of peer review make the assessment of the quality of information difficult. Several years ago, a group of physicians set out to solve these problems by modifying the traditional systematic review format, and created the Systematic Online Academic Resource (SOAR) review. The SOAR review aims to “systematically identify online resources by topic…[and] assess the quality of these resources with a validated tool, and collate links.” [5] Our review, "Systematic online academic resource [+]

Pigtail catheter for pleural drainage: Tips to minimize complications

By |Categories: Pulmonary, Trauma|

Traditionally large-bore tube thoracostomy has been the standard of care for treating many acute intrathoracic pathologies [1]. However, the advent of less invasive small-bore chest tubes, also known as pigtail catheters, has gradually led to a paradigm shift. Pigtails provide a less invasive and often better tolerated alternative to traditional chest tubes and allow for adequate treatment of pneumothoraces and uncomplicated pleural effusions [1-5]. Unfortunately, these less invasive catheters are not without complications - both unique and similar to traditional chest tubes. Case A 48 year-old male with a history of hypertension and polysubstance abuse presented to the emergency [+]

  • Abdominal Bruising

ACMT Toxicology Visual Pearl: Abdominal Bruising

By |Categories: ACMT Visual Pearls, Expert Peer Reviewed (Clinical), Tox & Medications|

What could cause this finding three days after ingestion of a concentrated household substance? Duodenal ulcer Gastric perforation Necrotizing enterocolitis Post-corrosive acute pancreatitis [+]

Maha M Farid MBBCh, MSc, PhD

Maha M Farid MBBCh, MSc, PhD

Lecturer of Forensic Medicine and Clinical Toxicology
Faculty of Medicine
Helwan University, Egypt
  • cocaine for epistaxis

Cocaine for Epistaxis: What was old is new again

By |Categories: ENT, Expert Peer Reviewed (Clinical), Tox & Medications|

Droperidol is back! Routine use of calcium for cardiac arrest is out? TPA is... well, we won’t go there. The landscape of medicine is continuously being reshaped. New research may question the effectiveness of an existing medication or promote the arrival of a novel treatment. Once beloved medications sit dust-laden in the back of a hospital pharmacy. But sometimes, just sometimes, an old medicine arises from that dust. Phenobarbital for alcohol withdrawal comes to mind. Could cocaine hydrochloride be one of those medications to be resurrected? Cocaine is effective in the treatment of epistaxis. Epistaxis is an exceedingly common [+]

SAEM Clinical Images Series: Red Rash on My Legs

By |Categories: Dermatology, SAEM Clinical Images|

A 23-year-old female with no known past medical history presented with a rash concentrated on her legs, with a few areas on her arms and chest. The rash began the day before presentation when she became overheated while wearing sweatpants in 104°F weather. The rash was mildly pruritic but not painful. She denied any prior reaction to her sweatpants that she has had for several months. She denied any new soap or cosmetic use, prior rash, allergy, or medication use. Her review [+]

ACMT Toxicology Visual Pearl: A Bane to Existence

By |Categories: ACMT Visual Pearls, Expert Peer Reviewed (Clinical), Tox & Medications|

What is the primary cause of death following ingestion of the plant pictured? Acute liver failure Arrhythmia Disseminated intravascular coagulation Status epilepticus [+]

Neelou Tabatabai, DO

Neelou Tabatabai, DO

Emergency Medicine Resident
UNC Health Southeastern, Lumberton, NC
Neelou Tabatabai, DO

Latest posts by Neelou Tabatabai, DO (see all)

SAEM Clinical Images Series: Seeing Double

By |Categories: Neurology, Ophthalmology, SAEM Clinical Images|

A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze. She initially presented to urgent care with a chief complaint of chest heaviness and concern that her blood pressure was too high, but was sent to the emergency department for further cardiac and neurological evaluation after her urgent care provider noticed abnormal eye movement. She endorsed mild, intermittent headaches associated with diplopia when looking to the left. However, she denied any blurry vision when looking forward. She denied any trauma or [+]

SAEM Clinical Images Series: Purple Finger

By |Categories: Orthopedic, SAEM Clinical Images|

A 30-year-old female with a past medical history of Crohn's Disease presented to the ED for evaluation of an acutely bruised right 4th finger. She stated she was typing on a computer keyboard approximately 10 minutes prior to presentation and she noticed a sudden popping sensation at the base of her right ring finger. After the popping sensation, she noticed a cool sensation of the finger and numbness to the entire finger. Shortly after that, the finger turned purple, so she came to the Emergency Department for evaluation. She denied pain in the hand and [+]

SAEM Clinical Images Series: Workout Gone Wrong

By |Categories: Ophthalmology, SAEM Clinical Images|

A 28-year-old male presented to the ED for evaluation of an injury to his right eye. While working out with an exercise band, it snapped back, hitting the patient in the right eye. He experienced blurry vision and excess eye tearing immediately after the incident occurred. The patient also developed gross blood over the front of the eye. Vitals: Temp 98°F, HR 73, BP (135/77), RR 16, SpO2 99% HEENT: Gross blood in the anterior portion of the right eye (grade I). The right pupil is dilated with minimal responsiveness to light. Visual [+]

Shuhan He, MD
ALiEM Senior Systems Engineer;
Director of Growth, Strategic Alliance Initiative, Center for Innovation and Digital Health
Massachusetts General Hospital;
Chief Scientific Officer,
Shuhan He, MD