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

Risk Management Pitfalls Involving Consent, Refusal, and Shared Decision-Making for Pediatric Patients
April 16, 2021


Posted by Andy Jagoda MD in: Feature Update , add a comment

Our recent issue Consent, Refusal of Care, and Shared Decision-Making for Pediatric Patients in Emergency Settings summarizes these concepts and provides case examples that may be encountered. It explains the essential elements of informed consent, the distinction between the informed consent process and the document, how to approach treatment refusal, and approaches to involving patients and their surrogates in shared decision-making.  read more

Risk Management Pitfalls for Atrial Fibrillation and Atrial Flutter
April 14, 2021


Posted by Andy Jagoda MD in: Feature Update , 1 comment so far

Our recent issue Atrial Fibrillation: An Approach to Diagnosis and Management in the Emergency Department includes evidence-based recommendations on rate versus rhythm control, discusses pharmacologic versus electrical cardioversion, evaluates thromboembolic risk, and provides options for anticoagulation. read more

Management of Community-Acquired Pneumonia: Clinical Pathway
March 30, 2021


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Our recent issue Community-Acquired Pneumonia in the Emergency Department compares various clinical decision aids that help determine the level of inpatient care required. read more

Key Points About the New MyEMCert
March 23, 2021


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As you can see from the infographic, MyEMCert will eventually replace ConCert by 2022 and the LLSA exam by 2025. EB Medicine will keep you up to date on the latest certification requirements as more information becomes available. 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

What’s Your Diagnosis? The Child With a Syndrome
March 17, 2021


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Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Pediatric Acute Demyelinating Syndromes: Identification and Management in the Emergency Department right. read more

What’s Your Diagnosis? Suspected Rabies Exposure in the ED
March 15, 2021


Posted by Andy Jagoda MD in: What's Your Diagnosis , add a comment

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Management of Acute Urinary Retention in the Emergency Department right. read more