Dyspnea After a Heroin Overdose
An old school problem in the modern era. A 55-year-old man was brought to the…
Ultrasound-Assisted Intraosseous Insertion
“I need a doctor in Trauma 1 right now!” You run into the resuscitation room,…
Why Don’t More Emergency Departments Cardiovert?
Cardioversion and discharge of recent onset AF is pretty much the accepted treatment in almost…
Trust Your Gut! And other lessons I learned when I swapped a lab coat for a hospital gown
Twas the night before a shift, and I felt like crap. Nauseated, bloated, and uncomfortable.…
Healthy Habits for the New Year Start With the Emergency Department Chairman
The new year offers a unique opportunity for directors to implement important department improvements. While…
Reasonable Practice: Should This EP Have Done More?
The Case by Brady Pregerson, MD A 55-year-old male with a history of hypertension and…
Tintinalli’s Year in Review: What We Learned in 2017
2017 was, shall we say, complicated. Here are the issues that dominated our headlines and…
No Better Friend
The overhand right found its mark on the left zygomatic arch and it was lights…
Why “Be More Like Pilots” Just Doesn’t Fly in Emergency Medicine
The book “Why Hospitals Should Fly” misses a big part of what makes emergency medicine…
Hyperammonemia: Is It the Liver or Something Else?
A review of the cirrhotic and non-cirrhotic causes of hyperammonemia that may be encountered in…