ACEP Now

JANUARY 5, 2025

Its 4 a.m., and youre three hours from the nearest tertiary care center. A young woman, 13 days post-tonsillectomy, comes into your rural emergency department (ED) coughing up blood. On exam, you see bright red blood trickling down her left tonsillar fossa. Her vital signs are normal, except for a heart rate of 115 bpm. Its going to take time to get her to a tertiary center.

Airway Management 52

Airway Management Operations Resuscitation Pediatrics 52

Pediatric Education

JANUARY 5, 2025

Patient Presentation An 8-year-old male came to clinic with his parents because of uncontrolled asthma symptoms. They had moved into a rented home that was about 50 years old in August, when they moved to the area from another country. Since that time he had increased runny nose and coughing and used his albuterol only intermittently. He was coughing several times per day and his parents said he “coughed all night” but it didn’t wake up the patient.

Wellness 40

Wellness Pediatrics Hospitals 40

ACEP Now

JANUARY 5, 2025

Every year, the hopeless task of keeping up with the medical literature grows even more unattainable. Will our Sisyphean burden be replaced with AI? ( Read this months Skeptics Guide to Emergency Medicine for that answer.) Will we be microchipped with peripheral PubMed brains? Will we finally wake up from the Matrix and be freed? Not yet! So, in the meantime, heres a host of articles of more than just passing interest from the past year, not already covered in ACEP Now.

Sepsis 40

Sepsis Research Airway Management Outcomes 40

Taming the SRU

JANUARY 5, 2025

Serotonin Syndrome Serotonin Syndrome is also known as serotonin toxicity caused by increased serotonergic activity leading to a classic triad of AMS, autonomic hyperactivity, and neuromuscular abnormalities Causative agents (all lead to stimulation of 5-HT receptors) Antidepressants (SSRIs, SNRIs and MAOIs) - most common Analgesics (fentanyl, methadone, and tramadol) Antiemetics (ondansetron and metoclopramide) Cold medications (dextromethorphan and pseudoephedrine) Illicit substances (cocaine,

Hyperthermia / Hypothermia 87

Hyperthermia / Hypothermia Dehydration Psychiatric Poisoning 87

ACEP Now

JANUARY 5, 2025

On June 24, 2022, Roe v. Wade was overturned by the U.S. Supreme Court, leaving regulation of abortion to the discretion of the states. Since then, many states have enacted laws to strictly regulate abortion, resulting in complex legal considerations for medical professionals. 1,2 This article reviews key statutes in the states with the strongest prohibitions against abortion and offers documentation principles for treating patients with ectopic pregnancies, spontaneous miscarriages, and other p

Documentation/Coding 52

Documentation/Coding Sepsis Emergency Department 52

Dr. Smith's ECG Blog

JANUARY 5, 2025

Written by Willy Frick A man in his 60s with hypertension and prior stroke presented with three days of crushing chest pain. He reported intermittent chest pain for the last few months, but never lasting this long. He described it as substernal with radiation into the right arm. With all of this information, we can feel reasonably confident even before looking at the ECG that we are dealing with OMI.

EKG/ECG 81

EKG/ECG Operations Stroke 81

Board Bombs

JANUARY 5, 2025

Were starting off the year strong with a quick review of the 4 major types of shock and your approach to each one. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind at here. Cite this podcast as: Briggs, Blake; Husain, Iltifat. 245. Shock types in 15 minutes. January 6th, 2024. Accessed [date].

Shock 52

Shock 52