Background Nitroglycerin (NTG) is an important intervention to consider for patients with Sympathetic Crashing Acute Pulmonary Edema (SCAPE) as it significantly reduces preload, and even modestly reduces afterload with high doses. For acute pulmonary edema in the ED, NTG is often administered as an IV infusion and/or sublingual tablet. Starting the infusion at ≥ 100 mcg/min produces rapid effects in many patients and can be titrated higher as tolerated, with doses reaching 400 mcg/min or [+]
A 76-year-old female with a history of HTN, TIA, CAD, left CEA, and CKD presented to the emergency department for evaluation of neck bruising and swelling. The patient stated that the night before, [+]
There you are, middle of the night and EMS just brought you one of the sickest of the sick: a septic-looking, chronically ill-appearing, frail, and malnourished patient with low blood pressures. They need [+]
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.
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric ocular ultrasonography for optic nerve evaluation. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Pediatric Ocular Ultrasound Quiz - test your skills PATIENT CASE: Child with a Headache Madeline is a 15-year-old female presenting to the Emergency Department with chief complaint [+]
Background Bupropion ingestions are one of the scarier poisonings due to a relatively narrow therapeutic index and the numerous adverse effects that may occur. Medical toxicologist Dr. Dan Rusyniak details his hatred of [+]
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
Last month, 30 people from 4 different countries and 15 different states + Puerto Rico, ranging from their early twenties to mid sixties, bravely jumped into a two-and-a-half day conversation on Slack about creativity, resilience, and their careers-- the fifth version of The Leader’s Library. We discussed the book Keep Going: Ten Ways to Stay Creative in Good Times and Bad by Austin Kleon, and reflected together on the evolution of our creativity from childhood [+]
A 91-year-old female patient presented with her family after concern for multiple new lesions on her face and hands. The patient thinks the lesions grew over the course [+]
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.
One word that best describes how you work? Organized chaos (that's 2 words) Current mobile device iPhone XS Computer 2020 13" Macbook Air + iPad with keyboard as a second monitort What is something you are working on now? Incorporating FOAM into our EM clerkship How did you come up with this Idea/Project? COVID decided for me -- we’re working on a way to keep students engaged even though we’re still semi-distance learning. Additionally, I [+]