SCFE is a pediatric condition in which the femoral epiphysis (what will later become the femoral head) “slips” from its location on the growth plate. The direction of slipping is most often posteriorly and inferiorly in relation to the growth plate, also called the femoral physis, and the metaphysis. The slipped appearance on x-ray is often compared to a scoop of ice cream sliding off a cone. 

A 40-year-old male with a past medical history of ulcerative colitis, anxiety, and depression presented to the emergency room with pain and swelling to the right pectoralis area for two days…

A 33-year-old previously healthy male presented to the ED with right hip pain after an MVC in which he was the unrestrained passenger in a car going 30-40 MPH. Vitals were notable for HR of 105, and were otherwise within normal limits. On physical exam, his right lower extremity was without obvious deformity or overlying skin changes, but was noted to be shortened with tenderness to palpation and pain with range of motion about the hip…

Triplane fractures of the distal tibia are multi-planar fractures that violate the tibia and joint space in three configurations – the axial, sagittal and frontal planes.

63 y.o. male arrived to the ED following a motorcycle crash (MCC) in which he was riding at an unknown speed when he suddenly lost control and was launched off of his motorcycle...

Pearls and pitfalls: Scan in BOTH longitudinal and transverse planes. To avoid rib shadows, oblique the probe to align with the rib space rather than holding the probe straight up and down. Slowly fan through the kidney in its entirety to evaluate for hydronephrosis and for the presence of a kidney stone…

…Patients who underwent POCUS examination for identification of an IUP had a length of stay in the emergency department that was over an hour shorter than those who went for comprehensive ultrasound. Emergency physician proficiency in POCUS in early pregnancy could improve patient flow and satisfaction…

This patient is a 57 year old female who had no known medical history who presented to the emergency department for visual disturbances…

Point-of-Care Ultrasound (POCUS) is a diagnostic imaging technique often used at the bedside in a variety of settings including emergency care, cardiology, intensive care, anesthesiology and obstetrics among others. Alongside the rapid evolution of machine learning (ML) and deep learning (DL) algorithms in the health informatics space, “intelligent” POCUS systems are concurrently transforming. From guiding novice trainees to automating clinical calculations, these algorithms are making ultrasound faster, more accurate, and more accessible…

25-year-old male with history of nephrolithiasis (prior right UVJ stone, 4x6mm visualized on CT a year ago) presenting with acute onset severe L sided flank pain that woke him from sleep...

Toxicology cases can be some of the more challenging cases that present to the emergency department (ED). Often the patient is altered or there is minimal history available. Many cases involve the combination of more than one toxic ingestion or exposure which can lead to a complex clinical picture.

The patient is a 33-year-old female with a medical history of ADHD and depression presenting with altered mental status. Per emergency medical services (EMS), the patient’s friend called for an episode of unresponsiveness. The patient’s ability to provide history is limited, but the friend reported that shortly prior to this event, the patient ingested a “pill” which he believed to be alprazolam (a medication she is prescribed). While awaiting evaluation, the patient had witnessed seizure-like activity in the waiting room, lasting approximately 30 seconds and was brought to a critical care room.

While opiates have been utilized for thousands of years, Opioid Use Disorder (OUD) has been increasing drastically since the turn of the 21st century…

Is crotalidae immune F(ab’)2 (equine) antivenom (Fab2AV) better than crotalidae immune polyvalent Fab (bovine) antivenom (FabAV) in preventing late hemotoxicity in patients who have been bitten and envenomated by rattlesnakes?

A 15-year-old female with a history of depression and ADHD who presents to the ED after an intentional overdose. Family notes that the patient is prescribed Prozac and Adderall, but they also found Benadryl and Ibuprofen in her room. On arrival, the patient was hypertensive to 140/82 and tachycardic…