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....

Diagnostic Statistics f...

A few weeks ago I was tweeting about the excellent Statistics in Medicine MOOC offered by Kristin Sainani of Stanford University when Ernesto asked: @BoringEM how do you find this as a resident? Is statistics a gap in your training? #justcurious — Ernesto (@DilettanteMD) July 22, 2013...

ID Badges: You’re...

In every hospital I have ever worked at I have been confused about who was who at one point or another. Although it hasn’t always been verbalized, I’ve mistaken ward clerks, nurses, nursing students, medical students, residents, respiratory therapists, pharmacists, physical...

D-Dimer: Should we adju...

Recently this article flew across my twitter feed via a link from Cliff Reid: Diagnostic accuracy of conventional or age adjusted D-dimer cut-off values in older patients with suspected venous thromboembolism: systematic review and meta-analysis (open access BMJ June 2013).   After...

Handheld Ultrasound ...

As it seems to be ultrasound month on BoringEM (see the guest posts from Paul Olszynski here: A Pictorial Approach to Ultrasound in Shock and Chris Byrne here: Point of Care Ultrasound: A Hyperechoic Future in Med Ed), I thought I’d chime in with a review of my new toy. I just...

A Pictorial Approach to...

I just finished preparing an introductory talk on shock & ultrasound. Ultrasound in shock in 50 minutes! After having struggled considerably with the breadth of the topic, i struggled even more with the summary. How does one sum up such a huge topic? In the end, I decided to go with...