The Ocular Anticholinergic Crisis
A startling episode with an inconsolable, hallucinating two year old highlights a rare ocular emergency.
Prophylactic Antibiotics for Epistaxis: Where’s the Evidence?
Epistaxis is a common problem, with a lifetime incidence of about 60%. While the majority…
Getting Creative with Ketamine
Versatile and safe, Ketamine can help with sedation, induction, asthma and pain. Can a shot…
Upstairs Downstairs: How many clinical shifts should a department chair work?
Dear Director, I work in a community ED, and we just got a new chair.…
Five-Year-Old With Dysuria, Abdominal Pain and Incontinence
Busy as a bee or busy as a beaver, you are feeling north of busy…
Bicep Tendon Rupture
A 45-year-old-male presents with sudden onset of right arm pain. He reports that he was…
Sudden Illness After Dental Procedure
A 28-year-old male presents to the emergency department with a chief complaint of chest pain,…
Leaving Las Vegas… Hopefully
Notes on the human condition, the laws of thermodynamics, and spandex. Travel to medical training…
Understanding ACEP’s Clinical Policy on Seizures
In January, 2014, the American College of Emergency Physicians revised its policy on ‘ED Evaluation…
Mid-Level Providers – Who they are, what they do, and why they’re changing emergency medicine
The use of mid-level providers has become increasingly controversial as the workforce realignment in emergency…