Case presentation: 56F w/ hx of Breast CA presents to the ED with tachycardia, SOB, cough and unilateral leg swelling. Her vitals are HR 110, BP 140/90, 02 saturation of 92% RA, and RR 20. Her BUN and Cr are were within normal limits. You are concerned about pulmonary embolism and tell the patient you [...]
Case Presentation An 83F with asthma and COPD presents to the ED with dyspnea, productive cough and fever x 3 days. On exam she has O2 of 89% on RA, RR 28, HR 115, BP 102/86. She appears moderately short of breath. She has WBC of 16, normal BMP and RLL infiltrate on CXR. While [...]
Case Presentation A 20 y/o Male is struck by a bus 30 minutes before he presents to the trauma slot. He has obvious head trauma and was intubated in the field for a GCS of 5. NCHCT shows significant intracranial hemorrhage without shift. The patient has reactive pupils and nonsurgical lower extremity trauma. You admit [...]
Critical Care Committee Journal Club-November 2012 Case Presentation A 60 y/o F is struck by a public bus causing b/l open tibial fractures. The patient has multiple other musculoskeletal injuries and requires intubation for further management. Once intubated the attending looks at me and the ventilator and says, “what evidence do you have to support [...]
Critical Care Committee Journal Club-September 2012 Case Presentation A 78 y/o Malaysian man p/w LE weakness, aphasia, and difficulty following commands. Stroke code was activated immediately. Patient was last seen 5 hours prior at baseline. CT head was negative for intracranial hemorrhage. At the 5.5 hour mark, the neurology attending mentions a paper recently published [...]
EMRA members are invited to participate in the ACEP International Emergency Medicine Section activities taking place at SA.
Click here for the ACEP IEM Section Activities
Click here for the Scientific Assembly International meetings
Please note that several of the International Section activities have limited participation and as a result require reservations. There is no fee/charge associated with these activities. Interested individuals will need to contact Dina Gonzales at firstname.lastname@example.org to reserve their spot. Space will be assigned on a first-come, first-served basis.
Critical Care Committee Journal Club-August 2012 Case Presentation A 60 y/o F with known Hep C cirrhosis c/o worsening abdominal distension x 4-5 days. Denies fevers, nausea and vomiting. She stated that the abdominal pain is very similar to prior episodes. She had a paracentesis in the past but no h/o spontaneous bacterial peritonitis (SBP). [...]
For Prospective IEM Fellowship Applicants: You can find a new application system here at iemfellowships.com. Many IEM programs are using this website as an application tool. For a complete list of international emergency medicine fellowships, check out http://www.emra.org/Content.aspx?id=289. IEM Events at ACEP’s 2012 Scientific Assembly in Denver: http://www.acep.org/InternationalSection/ Upcoming Conferences: 9th Annual New York Symposium [...]
In an article last week, the New York Times details how emergency department budgets are getting squeezed by both sides of the debate on the Affordable Care Act. In a (large) nutshell: EMTALA mandates emergency department treatment of all patients regardless of ability to pay or immigration status, and the federal government has been partially [...]
Critical Care Committee Journal Club-July 2012 Case Presentation A 20 y/o patient with a history of recurrent PE presented with shortness of breath after running out of coumadin. Bedside Echo and EKG showed RV strain and CT PE protocol showed large bilateral emboli. He became hypotensive and hypoxic as we awaited calls back from CT [...]