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....

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...