52 Articles: Lysis vs Transfer for PCI (NEJM 2003)
ST segments: fear a lytic in my hand, or transfer? -Unknown, 2015 This is part of a recurring series examining landmark articles in Emergency Medicine, in the style of ALiEM’s 52 Articles. Discussing:...
View ArticleHit Them Hard: The Use of H1 and H2 Antagonists for Acute Allergic Symptoms
This is part of a recurring series examining landmark articles in Emergency Medicine, in the style of ALiEM’s 52 Articles. This blog post reviews the article by Lin, R. Curry, A. Pesola, G. et al....
View ArticleComing Down the Pike: Zika Virus
From the Pan American Health Organization Zika virus website: http://www.paho.org/zikavirus What is Zika Virus? A single-stranded RNA virus of the Flavivirdae family, genus Flavivirus. The virus was...
View ArticleCITW 12: The Extra Weight
Welcome back to another Clinical Image of the Week from the case files of the Brown EM Residency! HPI: 27 year old male presents to the ED with left chest wall pain. He states he was bench pressing at...
View ArticleA True Orthopedic and Vascular Emergency
Case: A 76-year-old male presents after falling down a long flight of stairs. On exam the patient has multiple obvious external injuries, including a grossly deformed right shoulder with a large...
View ArticleSlow it or Fix it? Long-term Management Strategy for Atrial Fibrillation
This is part of a recurring series examining landmark articles in Emergency Medicine, in the style of ALiEM’s 52 Articles. Main Points: This 2002 randomized multicenter trial found that the use of rate...
View ArticleYou make me dizzy, Miss Lizzy: HINTS for assessing acute dizziness
The evaluation of the dizzy patient in the Emergency Department can be very complicated. The differential diagnosis is broad and misdiagnosis carries with it the potential for a high degree of...
View ArticleCITW 13: Itch, itch, itch
Welcome back to another Clinical Image of the Week from the case files of the Brown EM Residency! HPI/ROS: 37 year old male with no significant past medical history presents to the ED with a rash. He...
View ArticleShould We Reconsider Antipyretics For Fever?
What is Fever? Although often used interchangeably, the terms fever and hyperthermia refer to different processes, and the distinction is key. In fever the thermoregulatory set-point is elevated, and...
View ArticleTime to Abandon Epinephrine for OHCA?
This is part of a recurring series examining landmark articles in Emergency Medicine, in the style of ALiEM’s 52 Articles. Discussing: Wenzel, K. et al. A comparison of vasopressin and epinephrine for...
View ArticleCITW 14: The Blue Man
Welcome back to another Clinical Image of the Week from the case files of the Brown EM Residency! HPI/ROS: 57 year old male with a history of bacterial endocarditis and hypertension presents to the ED...
View ArticleHold the Fluids: Rethinking Early Crystalloid Resuscitation in Penetrating...
By: Dr. Maddie Boyle This is part of a recurring series examining landmark articles in Emergency Medicine, in the style of ALiEM’s 52 Articles. This blog post reviews the article by: Bickell WH, et al....
View ArticleAtrial Fibrillation, You’re a Heart Breaker, Dream Maker, Love Taker:
But At Least There is Low Risk for Thromboembolic Events With Speedy Conversion to Sinus Rhythm… This post reviews the article from Weigner, Marilyn et al. “Risk for Clinical Thromboembolism Associated...
View ArticleCITW 15: The Red Ear
Welcome back to another Clinical Image of the Week from the case files of the Brown EM Residency! HPI/ROS: 5 year old female with a history of recurrent otitis media who presents to the ED with right...
View ArticleNew Blog!
As of today we have a new blog! brownemblog.com All future posts will be on our new blog. We will no longer be using this blog except as a repository for all previous content, which the new blog will...
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