Washington University Emergency Medicine Journal Club– February 23rd, 2022 Vingnette: You are working a steady shift in EM-2 one Friday afternoon when you encounter Mr. X, a 50-year-old gentleman with a history of congestive heart failure who presents with 2 days of worsening bilateral lower extremity edema, dyspnea on exertion, and orthopnea. He reports compliance […]
Author: Paige
Aggressive vs. Moderate Fluid Resuscitation in Pancreatitis
Washington University Emergency Medicine Journal Club– November 2022 Vignette You are moonlighting in a large community hospital ED one afternoon when youencounter Ms. Y, a pleasant 50-year-old woman with a history of hypertension,hyperlipidemia, and alcohol use disorder. She is complaining of about 12 hours ofepigastric abdominal pain that does not radiate, with associated nausea andnonbloody […]
The Hestia Score & Outpatient Treatment of Pulmonary Embolism
Washington University Emergency Medicine Journal Club– January 18th, 2023 Vignette You are moonlighting in a large community hospital ED one afternoon when you encounter Mr. X, a pleasant 68-year-old man with a history of non-small cell lung cancer on chemotherapy, hypertension, and diabetes mellitus. He complains of sudden-onset left-sided pleuritic chest pain and dyspnea. He […]
Trans-esophageal ECHO in Cardiac Arrest
Washington University Emergency Medicine Journal Club – September 22nd, 2022 Vignette: You are working a shift in TCC when you get a pager about a 68-year-old gentleman with a history of atrial fibrillation who was found pulseless after passing out during his weekly golf game. Bystander CPR was initiated and upon EMS arrival his first rhythm […]