Rapid Review: anti-NMDA receptor encephalitis

In the Rapid Review series I briefly review the key points of a clinical review paper.

The topic: anti-NMDA receptor encephalitis

Continue reading “Rapid Review: anti-NMDA receptor encephalitis”

Torsades de Pointes

The first 10 minutes of emergency medicine resuscitation of torsades de pointes

Case

A 46 year old female is referred into the emergency department after multiple syncopal episodes. Her family physician did blood work and found her to be hypokalemic. She is on venlafaxine for depression and amitriptyline for sciatica. She is currently on a course of moxifloxacin for her sinusitis and this morning took a dose of fluconazole for the resultant candidiasis. On arrival, she is alert and looks well. However, as the ECG is being performed, she slumps over and you see:

ECG52105_3_hypoK.jpg

Continue reading “Torsades de Pointes”

Articles of the Month (December 2016)

Welcome to the year-end edition of the Articles of the Month (released well into the new year because of the craziness of emergency department holiday schedules). The podcast version of this post with Casey Parker is available through the BroomeDocs podcast.

Continue reading “Articles of the Month (December 2016)”

Rapid Review: Wernicke-Korsakoff Syndrome

This is a new type of post for First10EM. I frequently come across excellent papers that contain just a little too much information for the Articles of the Month reviews, but don’t really fit with the first 10 minutes resuscitation theme of the website. Up until now, I have simply not been sharing the information in these papers, but that seems like a bit of a waste. This is this trial of a new type of post – the rapid reviews – where I will briefly review the key points from a paper I read. Let me know what you think. If it needs to die, this can be the last post. If you like these, I will keep them coming.

Our topic: Wernicke-Korsakoff Syndrome (WKS) Continue reading “Rapid Review: Wernicke-Korsakoff Syndrome”

Articles of the month (November 2016)

It’s that time again. Sure, there may be a lot to do during the month of December, but what better way to procrastinate than to grab a mug of hot chocolate, sit down in front of the fire, and read about some evidence based medicine….

(If that doesn’t sound appealing, you could toss in some earphones while you do your holiday shopping and listen to me and Casey ramble about these papers in the audio version on the BroomeDocs podcast.) Continue reading “Articles of the month (November 2016)”

Thyroid storm

The emergency department management of severe, decompensated hyperthyroidism

Case

A 45 year old woman with a past medical history of hyperthyroidism is brought into the emergency department by her partner. She has had urinary tract symptoms for the last 2 days, but now she looks really sick. She has been having diarrhea and crampy abdominal pain. She is having a hard time concentrating, is tremulous, and drenched in sweat. Her vital signs at triage include an irregular heart rate of 142 and a temperature of 39.5 degrees celsius. Continue reading “Thyroid storm”

Finding impactful images (for free)

I am really excited to be attending The Teaching Course in New York City starting today. In the spirit of that course, I thought I would include a quick post on the best websites I know of to get free, high quality, impactful images to use in educational materials. A few well chosen, relevant images can drastically transform the content you create. I use these sources almost every day, trying to improve the look of First10EM and the presentations I give. I think it is essential to be mindful of copy-right, which is why these resources are generally better than just performing a google image search. If you know of any other sources for free, high quality images, please share them below. Continue reading “Finding impactful images (for free)”