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Trick of the Trade: Angiocatheter for manual aspiration of priapism

A 25-year-old man presents with 6 hours of penile pain and swelling after recreational penile injection of Trimix (alprostadil, papaverine, and phentolamine). He denies any history of sickle cell disease or penile trauma. On exam, he is in moderate discomfort and has a tumescent penis with a soft glans. You suspect the patient is suffering from ischemic, low-flow priapism. Manual compression and ice application have been attempted with no significant improvement in the patient’s clinical [...]

Apr 22, 202004, 2020

Diagnose on Sight: Scrotal Swelling

Case: A 58-year-old male with no past medical history presents to the emergency department for evaluation of right lower quadrant abdominal pain associated with right scrotal swelling. The patient reports that he had [...]

Find it hard to keep current with all the new clinical updates? Get caught up on key evidence-based guidelines, clinical pearls, and patient-centered recommendations for your patients in Emergency Medicine.

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PEM Pearls: Chest Radiographs for Shortness of Breath

Figure 1: Photo by Tim Bish on Unsplash Paramedics bring in a 5-month-old boy in respiratory distress. He’s crying furiously and has normal tone and color. Thick, copious secretions are coming from his nose. He is tachypneic with diffuse wheezes, crackles, retractions, and nasal flaring. His respiratory rate is 70 and his oxygen saturation is 88% on room air. Would you order a chest radiograph (CXR) for this [...]

Apr 1, 202004, 2020

Trick of the Trade: Face mask hacks

A 35-year-old male working as a healthcare worker presents for evaluation of ear discomfort. The skin behind his ears has been red and irritated since having to wear a surgical face mask with [...]

Everything you need to survive and thrive in academia, focusing on professional development across the spectrum of life-long learners including medical students, residents, and faculty

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CRincubator Live: A Chief Resident Professional Development Learning Lab

"In every crisis, there is an opportunity." This famous quote by Albert Einstein illustrates the opportunity to reinvent our Chief Resident Incubator ("CRincubator") year-long experience. We had planned to retire the CRincubator as of a month ago. However, given the relative void in Chief Resident professional development opportunities this year because of physical distancing rules, we wanted to share our lessons learned and resources developed over the past 5 years. We thus announce a half-day, [...]

Being a well-rounded healthcare professional goes beyond just knowing the scientific facts. Get inspired about your wellness, staying healthy, improving your efficiency, and finding a balanced work-life integration.

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Match Day! Words of Wisdom for Work

Congratulations on matching into emergency medicine! We are glad to have you. The journey you are about to embark on will be equal parts grueling and rewarding. You will be pushed to your limits but you’ll see and do some amazing things along the way. Excelling at internship and residency and fulfilling your potential goes beyond taking good care of patients. You will be expected to thrive in work and life. In this 2-part blog [...]