Medical Concept: Nicoti...

The Case A 2 year old male presents to the Emergency Department with his parents immediately after ingesting an unknown amount of Pina Colada e-cigarette (electronic cigarette) refill liquid (18mg/mL of nicotine).  It is a 30mL bottle and there is still some liquid inside.  His breath...

Could my patient have a...

“List top 5 worrisome diagnoses for chest pain” – we’ve all asked this question to junior learners and medical students, and one answer that should always come up is aortic dissection (AD). As emergency physicians we are well versed in the entity, workup and management of AD, but...

Thrombosis Infographic ...

These infographics are a series of introductory tools for learners in the ED for thrombosis and hemostasis. The goal is to provide a visual guide to the how, when, and why of thrombosis and its treatment in the ED. We will use a mechanistic approach to help you build a conceptual...

The Case of the Missing...

Thank you to all those who contributed to the discussion in Episode 1 of The Case of the Missing Awake Intubation Kit. In Episode 2, I compile the feedback from the first part of the series and some pearls from a discussion with local airway expert, Dr. Nick Kuzak. I have also included...

The Boring Guide to ECG...

There are few things in ECG interpretation more irritating to a junior learner than fascicular blocks. You might find yourself asking whether the pattern is qR. Or maybe it’s rO. sO? ss? And what are these fascicle things anyway? (Figure 1) In this article, we will briefly explore the...

Medical Concepts: Diabe...

Editor’s note: In this post we are going back to some BoringEM basic content, a case-based approach to classifying diabetic foot infections. It is designed to follow the introductory Chalk Talk: An approach to skin infections, available HERE. This awesome series was created by Alia...

Violence and Agitation ...

The management of agitation in the ED can be a distressing experience. The first time you encounter an upset, angry, or violent patient can feel overwhelming and uncomfortable. Rapid decision-making is often necessary; decisions may be based on limited information during an unfolding...

Nice threads: a guide t...

Introduction In your first Emergency Department (ED) rotation, you are keen to practice your suturing technique. During a slow shift, you decide to take a look at the suture cart in minor treatment, and realize you can only recognize two of the types available. What is the difference...