Presentation: In their first bout for the World Heavyweight Boxing Championship, Adonis Creed, the reigning champion, and son of the late Apollo Creed, faces Viktor Drago. Ivan, the father of Viktor Drago, holds a notorious legacy as the man behind Apollo Creed’s fatal defeat in the ring years ago. Adonis, at the peak of his career, grapples with a whirlwind of emotions. He is not only seeking to avenge his father’s death but …
Common ED Presentations: Clerk Flashcards
Are you a medical student ready to excel in your first ever emergency medicine shift and impress your mentors in the ED? We introduce to you a set of flashcards with common differential diagnoses so you can confidently tackle common ED presentations! This post was reviewed by Daniel Ting and copy-edited by @aafia-maqsood
What is the role of systemic thrombolysis in the management of pulmonary embolism?
A previously well 41-year-old woman on OCP presents to the emergency department with acute-onset tachycardia, dyspnea, and leg swelling. While awaiting imaging, she rapidly deteriorates and BP drops to 86/60 (triage BP 134/78). CT shows bilateral pulmonary emboli. Risk Stratification Pulmonary embolism (PE) is a cardiovascular emergency which can result in significant morbidity and mortality for patients.1 It is classified as high risk (formerly “massive”), intermediate (formerly “submassive”), or low risk. High-risk PE …
Dress for Success: A Guide to Dressing Choices for Common Wounds in the Emergency Department
During your Emergency Medicine (EM) rotation, you’ve encountered numerous lacerations and have honed your suturing skills. Following the primary closure of your most recent laceration, your supervising physician has requested that you apply an appropriate dressing and provide wound care instructions, as the nursing staff are preoccupied with attending to other patients. You look at the Wound Product Information Sheet and are surprised by the variety of dressings available in the Emergency Department …
Initiation of Congestive Heart Failure Action Plan in the Emergency Department
A 72-year-old English-speaking male with a history of congestive heart failure (CHF) withreduced ejection fraction (EF) presented to the emergency department (ED) with acutedecompensated CHF. He had a two-year history of progressive dyspnea and exercise intolerance.Other comorbidities included coronary artery disease, hypertension, dyslipidemia, cardioembolicstroke, and gastroesophageal reflux disease. His medications included furosemide, apixaban,atorvastatin, carvedilol, and fosinopril. His furosemide was reduced from 40 mg to 20 mg daily by hisfamily physician five months prior …
An Approach to Adult Burns in the Emergency Department
Case: You are working as a 3rd year clerk in the ED and your staff has asked you to see Kathy, a 24 year old female caught in a house fire presenting with burns in multiple areas and difficulties breathing. Burn injuries result in the partial or complete destruction of the skin and can affect any of its three layers: the epidermis, dermis, or subcutaneous tissue.1 In this article, we will explore a …