US against the world: u...

The Case: A 75-year-old male with a history of COPD and CHF presents with worsening shortness of breath over the past 24 hours. EMS states that they heard wheezing on exam and began standard COPD exacerbation treatment, including nebulized albuterol and atrovent and intravenous steroids....

Approach to Geriatric P...

The wave of baby boomers is coming to an ED near you and it’s time to get prepared [1]. ED overcrowding does not seem to be going away anytime soon, and anything we can do to get these patients back to the community is better for everyone. While not all 80 year olds have multiple medical...

Medical Concept –...

We recently had a great piece by Dr. Andrew Petrosoniak about the HINTS exam. As a medical student, however, his piece left me with more questions than answers. I decided to go hunting for some foundational concepts surrounding vertigo and bring you along for the ride. At some point in...

Posterior Shoulder Disl...

The Case You’re in the final stretch in an overnight fast track shift at your local emergency department andsleepily contemplating whether to invest in another energy drink when you glance over at the triage desk and your natural endorphins kick in. A 25-year-old male with the presenting...

Management of Hyperkale...

Editors Note: We are very excited to have our first professor of Nephrology guest blog with us here at BoringEM.  He kindly asked one of his residents to write up the “C BIG K DROP” mnemonic (see Tiny Tip from September 22, 2014), but he also obliged us with an expert review...

Basic Airway Assessment...

In medical school, many multiple-choice questions in the setting of an acutely ill patient have an option of “managing the ABC’s” and it is always the correct answer.  Unfortunately, saying “I would manage the ABCs as my first priority” is very different from actually knowing how to...

Adult Epiglottitis: Not...

It was an early morning shift at Janus General when I picked up the chart of a 36-year-old female with a two-week history of sore throat. I walked into the room and see a healthy looking 36 year old woman. Her vitals were stable, but she was febrile. She was reclining on a stretcher,...

The Precordial Thump: G...

It’s one of those mythical interventions that everyone has heard of, less have attempted and few have seen used successfully. Everyone knows someone who knows someone that brought a patient back from the brink using only hope and the power contained within a tightly clenched fist....