Editor’s Note: This week we are fortunate to get a great review of the recent SUSPEND article on medical expulsive therapy (MET) in the setting of acute renal colic. We are doubly lucky to have the post reviewed by a urologist, Dr. Michael Leveridge (who not only is a great surgeon but knows how to rock a moustache). He reveals some of the thoughts of colleagues who participated in the #urojc twitter journal club on the article. …
Thrombosis Infographic Series: Thrombosis and Hemostasis
View PostMedical Concept: Hyphema
The Case A 25 year old man presents 5 hours after an injury sustained in an intense racquetball match. He states that he had not been wearing protective eyewear at the time and that a ball hit him directly in his left eye. He reports occular pain and immediate blurry vision that has progressively worsened since his injury. A quick pen light examination of the left eye reveals an obvious hyphema filling just …
Medical Concept: ECGs in Syncope
Editor’s Note: This absolutely fantastic piece on ECG findings in syncope has many ECGs. To get a better image click on the picture to to access the full size image at the LIFTL ECG library. A huge shout out and thanks to the folks at LITFL for compiling such a great library! The Case You are a medical student working in the emergency department when a 31-year-old man presents following a syncopal episode. …
Phone a Friend: the proficient paramedic
Editor’s Note: This series was created by third year medical student Gerhard Dashi and will highlight the important work that our interprofessional colleagues do. Keep your eye open for more “Phone a Friend” articles and if you would like to be featured or know a colleague that should be highlighted follow this link to complete the questions on a google form. Background on the “Phone a Friend” Series This is the second interview in the “Phone a Friend” series. This series …
Medical Concept: Delirium tips and tools
The Case A 65-year-old woman presents to your emergency department (ED) feeling fatigued and weak. Her history is vague, and you have to redirect her conversation many times. She appears drowsy but is easily rousable. Her blood work, ECG, chest x-ray, urine all come back normal. When you return to re-asses her, you see that she is quietly resting in your ED with her daughter at the bedside. Her daughter tells you that …