Tiny Tip: HINTS exam to...

I recently wrote a post about the utility of the HINTS exam for patients who present with persistent vertigo known as acute vestibular syndrome (AVS). The available evidence suggests that this bedside exam is highly effective to help differentiate peripheral from central causes. And in...

Tiny Tip | Canadian C-s...

Clinical Decision Tool uptake In 2007, Dr. Ian Stiell wrote a paper [1] about the uptake and real-life implementation of his four clinical decision rules (or as we prefer to call them, clinical decision tools).  The paper concludes that “Future research should...

Tiny Tip: Determining c...

Determining capacity in a patient that needs to make an emergency medical decision can be a huge challenge for emergency physicians with substantial legal and patient-oriented consequences. As emergency medicine providers we need to be able to make this determination confidently and...

Tiny Tip: C BIG K DROP ...

Editors Note: As you know, BoringEM has never shied away from controversy. In this Tiny Tip, we present to you a mnemonic for the management of hyperkalemia with ECG changes – wrought with several interesting suggestions with which MANY will avidly jump to post-publication peer...

Boring Question: Does t...

The Clinical Case A 70-year-old female presents to the emergency department with new palpitations and 2 syncopal episodes, witnessed by her son. These episodes have started within the past 10 days. Her past medical history includes diabetes, hypertension, depression, dyslipidemia and...

Tiny Tip: PREeclampsia

Preeclampsia is a common complication in pregnancy, affecting 3-5% of pregnant women in the general population, and up to 25% of pregnant patients with pre-existing chronic hypertension [1]. It’s common enough that you’re likely to see it in the emergency department if you are rotating...

Tiny Tip: HELLP Syndrom...

If you train in a tertiary care center with obstetrical triage, you may not assess many pregnant women beyond the first trimester of pregnancy. However, in community emergency departments without a primary obstetrics triage department, you will often encounter pregnancy-induced...

Tiny Tips: Non-Cardioge...

When you see a pulmonary edema on chest x-ray (CXR), the knee jerk reaction is to attribute it to heart failure.  But what might you be missing? Not all the glitters is gold. And not all that is wet on CXR is just plain ol’ CHF. Non-Cardiogenic Pulmonary Edema (NCPE) is better...