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...

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...