A 26 year-old with no significant past medical history presents with two days of abdominal pain and vaginal bleeding. She describes the pain as a 4/10, “crampy” and diffuse, located in the lower abdomen. She is not experiencing any nausea, vomiting, diarrhea, constipation, dysuria, or increase in urinary frequency or urgency. Her last menstrual period was approximately 7-8 weeks ago and she has a history of regular periods. She has no history of STIs, prior surgeries or pregnancies, and is uncertain whether she desires pregnancy currently…

Clinical Image, OB/Gyn, UltrasoundSarena HayerMarch 19, 2021Ectopic Pregnancy, UltrasoundComment

Utility of POCUS in Evaluating for Pulmonary Embolism

A 58-year-old woman with a past medical history significant for hypertension and hyperlipidemia presents to the Emergency Department with 3 days of dyspnea. She also endorses non exertional pleuritic chest pain, chills, and malaise that started on the morning of her presentation. Vital signs were notable for tachycardia of 110 beats per minute and an oxygen saturation of 93% on room air, but were otherwise normal. Physical exam revealed clear lung fields bilaterally and was otherwise unremarkable…

Cardiology, UltrasoundBenjamin HaganMarch 12, 2021Cardiology, Pulmonary EmbolismComment

AEM Early Access 48: The Effect of Trauma Center Verification Level on Outcomes in Traumatic Brain Injury Patients Undergoing Interfacility Transfer

Previous literature demonstrates increased mortality for traumatic brain injury (TBI) with transfer to a Level II versus Level I trauma center. Our objective was to determine the effect of the most recent American College of Surgeons-Committee on Trauma (ACS-COT) "Resources for the Optimal Care of the Injured Patient" resources manual ("The Orange Book") on outcomes after severe TBI after interfacility transfer to Level I versus Level II center.

AEM Early AccessGita PensaMarch 9, 2021Emergency Medicine, Medical EducationComment

The Inconsolable Infant: Just colic or a bad omen?

A 2-month-old male infant born by uncomplicated spontaneous vaginal delivery at 38 weeks presented with two days of crying and irritability. Mom stated the baby’s birth was normal and he has been growing and developing normally. Two days ago, he became fussy, and has been crying and inconsolable since…

PediatricsMichelle MylesMarch 5, 2021Infantile Colic, Review, Physical ExamComment

EKG Case Report

A 57-year-old man presents to the emergency department in the middle of the night complaining of chest pain that woke him up three hours ago. He states that he feels tightness and a burning sensation across both sides of his chest, with intermittent sharp pains that he rates as an 8/10. He also reports that both of his arms are numb and tingling, and the right side of his face has been twitching. He has not been able to go back to sleep because he is so uncomfortable…

Cardiology, Community EMKathleen BarryMarch 1, 2021Wellens, Cardiology, EKG, ACSComment

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