Clinical Pearls

• Clinical Pearl: A Parent’s Kiss for Nasal Foreign Body Removal

  Image Credit:flickr Author: Ashley Grigsby, DO PGY-1Indiana University Emergency Medicine/PediatricsOriginally published: Modern Resident April/May 2015 Every little boy knows the best place for anything is up your nose. That is, until they show up in your emergency department (ED). The Case:Three-year-old previously healthy male presents after he put his older sister’s jewelry bead up his […]
• Clinical Pearl: “Light Bulb Sign” in Posterior Shoulder Dislocation

  Author: Nathan Haas, MD University of Michigan Originally Published: Modern Resident, June/July 2014 Posterior shoulder dislocations are relatively uncommon, comprising only 2-4% of all shoulder dislocations. Thus, posterior dislocations often go undiagnosed, and can lead to severe consequences for both the patient and emergency physician (EP). A high index of suspicion and a firm grasp […]
• Why is My Arm Swollen?

  Image Credit: Flickr Author: Pollianne Ward, MDTemple University Hospital Originally Published: Modern Resident February/March ’13 A 16-year-old female presented to a children’s hospital emergency department with two weeks of intermittent left shoulder pain. Over the last few days, her left arm had become diffusely swollen and painful with mottling of the skin, coolness of her […]
• Six Clinical Pearls from Intern Year

  Image Credit: Flickr Author: Casey Grover, MDStanford/Kaiser Emergency Medicine Originally Published: Modern Resident October/November 2011 Looking back after finishing a year as an emergency medicine intern, the lessons that I remember the most come from the mistakes that I have made. I had one particularly rough month late in my internship that was filled with […]
• Tips for Tackling the Pediatric Trauma

  Image: Bigstock Author: Shyam Sivasankar, MD Emergency Medicine Resident Stanford-Kaiser Emergency Medicine AAEM/RSA Publications Committee Member This post was peer reviewed.Click to learn more. I am very fortunate to train at a facility with a child life specialist present in the emergency department. Their presence has helped me learn a lot about running pediatric trauma […]
• Electrical Storm: Don’t Just “Push Another Milligram of Epi”

  Bigstock This post was peer reviewed.Click to learn more. Author: Khalid M Miri, OMSIVWestern University of Health Sciences, College of Osteopathic Medicine of the Pacific “Are you ready to call it?” “Not yet, let’s push one more of epi.” Sound familiar? Despite doing proper CPR, defibrillating, and pushing all the ACLS meds, you know deep […]
• Digoxin Toxicity: Myths, Truths and Management

  Bigstock This post was peer reviewed.Click to learn more. Author: Andrew V. Bokarius, MD Emergency Medicine Resident University of Chicago AAEM/RSA Publication Committee Member The Case: A 68-year-old male with a history of heart failure presents with weakness, confusion, and visual disturbances including yellow/green halos and scotomas. Digoxin is on the list of current medications. […]
• When SCUBA diving goes wrong – Decompression Illness

  Bigstock Jonathan Morgan, MSIV This post was peer reviewed.Click to learn more. Medical Student Lake Erie College of Osteopathic Medicine-Bradenton A 54 year-old male presents to your emergency department complaining of dizziness that started shortly after completing a dive. He is a biologist who was studying the nearby river. He reports that about 10 minutes […]
• Drowning in your own Blood: Managing Massive Hemoptysis

  Bigstock Author: Jonathan Morgan, MSIV Lake Erie College of Osteopathic Medicine-Bradenton Case: EMS calls; they are 5 minutes out with a 50-year-old female patient in cardiac arrest with massive airway bleeding. She began coughing up blood and collapsed several minutes prior to EMS arrival. She is currently intubated with a 7.0 ETT, 3 doses of […]
• Ocular Emergency: Chemical Burns, A Non-Ophthalmologist Approach to Initial Treatment and Referral

  Image from Maxxl2 – Wikimedia Commons This post was peer reviewed.Click to learn more. Author: Fernando Pellerano, MS-V Universidad Iberoamericana (UNIBE) School of Medicine Chemical burns represent potentially blinding ocular injuries and constitute a true ocular emergency requiring immediate assessment and initiation of treatment. The sequelae of an ocular burn can be severe and particularly challenging […]

Category Archive Template