Test Your Knowledge: Pediatric Acute Mild Traumatic Brain Injury and Concussion
August 23, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

Mild traumatic brain injury (mTBI) and concussion, a subtype of mTBI, commonly present to the emergency department and may present with symptoms identical to those associated with more severe TBI. The development and use of clinical decision rules, increased awareness of the risk of radiation associated with head computed tomography, and the potential for patient observation has allowed emergency clinicians to make well-informed decisions regarding the need for imaging for patients who present with mTBI. read more

Test Your Knowledge: Acute Ischemic Stroke
August 23, 2021


Posted by Andy Jagoda MD in: Brain Tease , 1 comment so far

Acute ischemic stroke is a leading cause of morbidity and mortality in the United States, and a majority of acute ischemic stroke patients are evaluated for the first time by a clinician in the emergency department. read more

Test Your Knowledge: Neonatal Resuscitation in the Emergency Department
July 19, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

Although most neonates will not require resuscitation, emergency clinicians must be prepared to manage neonates who require respiratory assistance.

Our recent issue Neonatal Resuscitation in the Emergency Department reviews current expert recommendations and consensus updates of the best practices in resuscitation of neonates.  read more

Test Your Knowledge: Emergency Department Management of Syncope
July 19, 2021


Posted by Andy Jagoda MD in: Brain Tease , 1 comment so far

Syncope is the transient loss of consciousness and postural tone, with spontaneous recovery. It accounts for approximately 1% of all emergency department visits and $5.6 billion in healthcare costs annually. read more

Test Your Knowledge: The Child With a Syndrome
April 20, 2021


Posted by Andy Jagoda MD in: Brain Tease , 2 comments

Children with syndromes often access emergency services and they may present unique challenges for emergency clinicians. Our recent issue The Child With a Syndrome: Considerations for Management in the Emergency Department reviews 3 pediatric syndromes—spina bifida, Down syndrome, and Marfan syndrome—each of which are associated with unique emergent conditions. read more

Test Your Knowledge: Management of Suspected Rabies Exposure in the ED
April 20, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

Rabies is a rare, yet nearly universally fatal diagnosis, responsible for over 59,000 deaths worldwide annually. Appropriate use of pre- and postexposure prophylaxis can eliminate the risk of developing rabies if administered according to the United States Centers for Disease Control and Prevention Advisory Committee on Immunization Practices guidelines. Though rabies is very rare, rapid recognition of potential exposures is vital to patient care and protection of public health. read more

Test Your Knowledge: Pediatric Acute Demyelinating Syndromes
March 23, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

Acute demyelinating disorders can present with vague complaints and subtle abnormalities of the neurological examination. A thorough history and physical examination are impor- tant for narrowing the differential diagnosis and determining which diagnostic studies are indicated. read more

Test Your Knowledge: Acute Urinary Retention in the ED
March 23, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

Etiologies of acute urinary retention fall into 4 broad categories: structural, medication/ toxicologic, neurologic, and infectious. Although two-thirds of cases in men are related to prostatomegaly, there is also a high burden of concomitant morbid pathology. Acute urinary retention can also result from trauma, drug toxicity, infection, or compressive or demyelinating neurologic pathology, and these must be ruled out, particularly in women, children, and elderly patients. read more

Test Your Knowledge: Nontraumatic Ocular Complaints in Children
February 24, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

Children commonly present to emergency departments with eye complaints in the absence of antecedent trauma. Signs and symptoms of ocular disease are often nonspecific. Red, swollen, or painful eyes may represent benign or vision-threatening processes, making recognition and triage challenging for the emergency clinician. read more

Test Your Knowledge: Community-Acquired Pneumonia
February 24, 2021


Posted by Andy Jagoda MD in: Brain Tease , add a comment

As recommendations for the diagnosis, treatment, and disposition of patients with community-acquired pneumonia continue to evolve, our recent issue Community-Acquired Pneumonia in the Emergency Department reviews the current evidence and guidelines for managing these patients. read more