What’s Your Diagnosis? Terrestrial Envenomations in Pediatric Patients
August 17, 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 Less-Lethal Law Enforcement Weapons: Clinical Management of Associated Injuries in the Emergency Department right. read more

What’s Your Diagnosis? High-Altitude Illness
August 16, 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 Emergency Department Management of Abnormal Uterine Bleeding in the Nonpregnant Patient right. 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

Management of Pediatric Hypothermia and Peripheral Cold Injuries in the ED
December 7, 2020


Posted by Andy Jagoda MD in: Clinical Pathways , add a comment

Hypothermia occurs when the core body temperature falls below 35°C (95°F) due to primary exposure or secondary to other pathologies. Infants, children, and adolescents are at higher risk for primary cold injuries due to a combination of physiologic and cognitive factors, but quick re-warming and appropriate disposition can result in survival and improved neurological outcomes. 

This issue, Management of Pediatric Hypothermia and Peripheral Cold Injuries in the Emergency Departmentreviews the stages of hypothermia and offers recommendations for emergent management of pediatric patients with hypothermia.

To help you with the decision-making process, we’ve created the clinical pathway below, which is also included in the supplement. read more

Emergency Department Management of Calcium Channel Blocker and Beta Blocker Overdose, and Digoxin Toxicity
October 5, 2020


Posted by Andy Jagoda MD in: Clinical Pathways , 1 comment so far

While relatively uncommon, an overdose of calcium channel blockers, beta blockers, or digoxin can result in significant morbidity and mortality, and management can be complex. An acute overdose will require different management strategies than chronic toxicity while on therapeutic dosing. Toxicity from these agents must be considered in bradycardic and hypotensive patients. read more

Test Your Knowledge: Assisting With Air Travel Medical Emergencies
August 3, 2020


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

When medical emergencies arise in flight, commercial airline flight crews may ask for help from onboard medical professionals. Qualified, active, licensed, and sober providers should volunteer to assist in the event of a medical emergency rather than decline out of fear of medicolegal reprisal. An understanding of the typically available resources, the hierarchy of authority, and medico-legal precedents can help providers feel confident in responding to these situations.  read more

Test Your Knowledge: Acid-Base Disturbances
June 29, 2020


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

Acid-base disturbances are physiological responses to a wide variety of underlying conditions and critical illnesses. Homeo-stasis of acid-base physiology is complex and interdependent with the function of the lungs, kidneys, and endogenous buffer systems. read more

What’s Your Diagnosis? Mechanical Ventilation Management in the Emergency Department
June 22, 2020


Posted by Andy Jagoda MD in: What's Your Diagnosis , 1 comment so far

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 Acid-Base Disturbances: An Emergency Department Approach right. read more

What’s Your Diagnosis? Acid-Base Disturbances: An Emergency Department Approach
May 29, 2020


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 out if you got last month’s case, on Novel 2019 Coronavirus SARS-CoV-2 (COVID-19): An Updated Overview for Emergency Clinicians right. read more

What’s Your Diagnosis? Identification and Management of Marine Envenomations in Pediatric Patients
March 25, 2020


Posted by Andy Jagoda, MD in: What's Your Diagnosis , 2 comments

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

Case Presentation: Identification and Management of Marine Envenomation in Pediatric Patients read more