article thumbnail

When the Patient History Does Not Fit

ACEP Now

It is 0715 hours, and you have just come onto shift when EMS calls that they are bringing in an 11-month-old female who won’t stop crying. Even though the explanation for the injury was very plausible, because it was not given initially to EMS and ED staff, CPS was contacted. They evaluated the child and debrided the burn.

article thumbnail

Recognition and Treatment of Thrombotic Thrombocytopenic Purpura

ACEP Now

One 2009 study of four tertiary hospitals found that emergency physicians often misdiagnosed this presentation in pregnant women as “panic attack, domestic violence, or gastroenteritis.” Dr. Turner originally trained at the Medical University of South Carolina, is an EM intern at Hershey Medical Center in Hershey, PA.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

BCE 65 Intimate Partner Violence – A Silent Epidemic

Emergency Medicine Cases

Victims of intimate partner violence and domestic violence that we see in the ED typically involve an abuse story of repeated escalating violence over time that ends up in a crisis situation. The woman is often financially dependent on her abuser and has no one to turn to for help.

article thumbnail

Hand Examination & Pathology

Don't Forget the Bubbles

Discussion (from Orthobullets, Relias media & EM News blog) What does this x-ray show? Clinical Factors affecting management choice (from EM News blog, teachmeanatomy, orthobullets) The extent and location of the amputation will determine what treatment options are most appropriate. What should you do with it?

article thumbnail

Grand Rounds Recap 7.17.24

Taming the SRU

Use pacesetting to get quick results from a highly motivated and competent team Use coaching to help an employee improve performance and develop long-term strengths Social EM Grand Rounds: Interpersonal and community violence WITH drs. Can an airway assessment score predict difficulty at intubation in the ED?

article thumbnail

ED care of refugee populations from sub-Saharan Africa

EMDocs

Notably, 61 out of 200 female refugees report experiences of sexual and gender-based violence, including domestic violence (24%) and rape (19%), which leave enduring psychological scars. These may include unstable vital signs, lethargy, irritability, confusion, hypoglycemia, hepatobiliary dysfunction, or AKI.