Earlobe Crease in Patient With Chest Pain
A 69-year-old man with a history of coronary artery disease was admitted to the emergency department for acute chest pain. A few minutes after admission, cardiac arrest occurred. Return of…
American Board of Emergency Medicine Report on Residency and Fellowship Training Information (2016-2017)
The American Board of Emergency Medicine (ABEM) gathers extensive background information on emergency medicine residency programs and the residents training in those programs. We present the 2017 annual report on…
Postural Headache? It’s Not a Tumor!
SEE RELATED ARTICLE, P. 660 . Annals Case A 42 year old woman presents with 2 days of positional, gradual-onset, diffuse headache associated with vomiting. Her headache improves with lying…
On Resolution 22
The New York Times headline would read “Three Enemas Later, and Still No Drugs.” The backstory, in a nutshell, was that the police had come to my emergency department with…
I Recently Went to a Funeral
I recently went to a funeral. The deceased was a young man, only 29 years old. I had only met him once (more on this later). But I knew his…
Amazing and Awesome Rounds
I never realized how physiologically and literally a rupturing abdominal aortic aneurysm (AAA) resembled a bomb inside someone’s abdomen. That was my initial thought as I began my busy evening…
SIM Serendipity
The pediatric emergency department (ED) was in the midst of its early morning ritual. There were no patients waiting to be seen. I wanted to help wake up the residents…
The Effect of Bedside Ultrasonographic Skin Marking on Infant Lumbar Puncture Success: A Randomized Controlled Trial
Study objective Lumbar puncture is a commonly performed procedure, although previous studies have documented low rates of successful completion in infants. Ultrasonography can visualize the anatomic landmarks for lumbar puncture…
Update: Does Rocuronium Create Better Intubating Conditions Than Succinylcholine for Rapid Sequence Intubation?
Take-Home Message Succinylcholine is superior to rocuronium in providing excellent intubating conditions for emergency rapid sequence intubation. Methods Data Sources The authors searched the Cochrane Central Register of Controlled Trials…
Optimal Volume of Administration of Intranasal Midazolam in Children: A Randomized Clinical Trial
Study objective The optimal intranasal volume of administration for achieving timely and effective sedation in children is unclear. We aimed to compare clinical outcomes relevant to procedural sedation associated with…
