In-Flight Emergency
Last month I was called to assist a passenger on a flight from Toronto to Los Angeles. The passenger was a woman in her early 60s who was feeling weak…
EMERGENCY MEDICINE
Boy With Fever and Abdominal Pain
A 9-year-old previously healthy boy presented with 5 days of low-grade fever, bilious emesis, and intermittent abdominal pain. He was initially admitted for suspected gastroenteritis and treated with intravenous fluids….
One and Done: Steroids for Adult Asthma
Discussion Points 1. Rehrer et al performed a randomized clinical trial to compare two corticosteroid regimens for treating adult patients in the emergency department (ED) presenting with acute asthma exacerbations. A….
Man With Throat Pain
A 55-year-old man presented to the emergency department (ED) with a 2-day history of severe, sharp pain on the right side of the throat. He also reported being unable to…
A Man With Severe Back Pain
A 63-year-old man with rheumatoid arthritis presented to the emergency department with new-onset severe low back pain starting 6 hours before presentation. Vital signs were normal and physical examination revealed a…
Yet Another
Another day, another shift. Except now, it’s another day of residency and yet another person jumping to their death from their apartment building. Last time it was a resident at…
Yet Another Cut
A salute to a patient With one breast A scar across her chest With one arm taken away She came into the ER today Metastatic Liposarcoma of RUE Amputation of…
Clinical Policy: Critical Issues in the Diagnosis and Management of the Adult Psychiatric Patient in the Emergency Department
Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee): Michael D. Brown, MD, MSc (Chair 2014-2017) Richard Byyny, MD, MSc (Methodologist) Deborah B. Diercks, MD, MSc…
Quick SOFA Scores Predict Mortality in Adult Emergency Department Patients With and Without Suspected Infection
Study objective The Quick Sequential Organ Failure Assessment (qSOFA) score (composed of respiratory rate ≥22 breaths/min, systolic blood pressure ≤100 mm Hg, and altered mental status) may identify patients with…
