Assessing Pneumothorax Size

Selected Pulmonary Emergencies

Pulmonary/Respiratory Emergencies selected from SAEM and IFEM undergraduate curriculum are uploaded into the website. You can read, all these chapters freely. More specific disease entities are on the way.

Asthma

by Ayse Ece Akceylan Case Presentation A 50-year-old male with a history of asthma presents to the emergency department (ED) with shortness of breath, tachypnea,

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Chronic Obstructive Pulmonary Disease (COPD)

by Ramin Tabatabai, David Hoffman, and Tiffany Abramson Case Presentation A 68-year-old male presents to the emergency department (ED) with audible wheezing, and he is

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Pneumonia

by Mary J. O. Case Presentation A 74-year-old male with a history of hypertension and diabetes presented to the emergency department with a cough productive

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Spontaneous Pneumothorax

by Mahmoud Aljufaili Introduction Pneumothorax refers to the presence of air in the pleural cavity. It can impair oxygenation/ventilation. There are two types of spontaneous pneumothorax

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Asthma is just uploaded!

Inhaler

Asthma chapter written by Ayse Ece Akceylan from Turkey is just uploaded to the Website!

iEM Weekly Feed 5

Welcome to iEM Weekly Feed!

With this feed, you do not miss anything. You will find all published blog posts and chapters during this week. Click the “title” or “read more” to open each page you interested in.

Pericardiocentesis

by David Wald and Lindsay Davis Case Presentation A 52-year-old female with a history of metastatic breast cancer presents to the emergency department with a

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Lumbar Puncture

by Khuloud Alqaran Case Presentation A16-year-old male, without a known case of any medical illness, presented to the ED accompanied by his mother. His chief

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How to insert NG

Nasogastric Tube Placement chapter written by Sara Nikolić and Gregor Prosen from Slovenia is just uploaded to the Website! Read “Nasogastric Tube Placement” Chapter

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Nasogastric Tube Placement

by Sara Nikolić and Gregor Prosen Introduction Nasogastric (NG) tube placement is one of the most common procedures performed in intensive care settings, the emergency

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Assessing Airway Difficulty – LEMON

Read “RSI Chapter”

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Rapid Sequence Intubation (RSI)

by Qais Abuagla Introduction Airway management is one of the most important skills for an Emergency Department practitioner to master because failure to secure an

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Ortho Pearls – Salter-Harris Classification

Recommended Chapters Reduction of Common Fractures and Dislocations Read Splinting and Casting Read

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Hip Dislocation

Reduction of Common Fractures and Dislocations chapter written by Dejvid Ahmetović and Gregor Prosen from Slovenia is just uploaded to the Website! with selection of

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Reduction of Common Fractures and Dislocations

by Dejvid Ahmetović and Gregor Prosen Introduction Most of the orthopedic injuries can be predicted considering the chief complaint, the age of the patient and

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A 75-year-old male with voiding difficulty

DJ Mitchell, Glenn Canyon Dam, Flickr Urinary Catheter Placement chapter written by Gul Pamukcu Gunaydin from Turkey is just uploaded to the Website! A 75-year-old

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Urinary Catheter Placement

by Gul Pamucu Gunaydin Case Presentation A 75-year-old male patient was admitted to the emergency department with difficulty voiding. He had this complaint for over

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Happy educational week!

You can listen all EM clerkship core topics. Do you need clinical images/videos?   Visit our Flickr channel   Visit our YouTube channel SAEM/CDEM EM

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How to splint?

26-year-old male with no past medical history presents with left ankle pain after landing on another player’s foot while jumping up during a basketball game.

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Splinting and Casting

by Joseph Pinero, Timothy Snow, Suzanne Bentley Case Presentation 1 65-year-old female with a history of hypertension and diabetes presenting with right wrist pain and

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Acid-Base Disturbance

by Lamiess Osman, Qais Abuagla Introduction Definitions Acid: a substance that is capable of donating a hydrogen ion to another substance Base: the substance that is

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Selected Cardiovascular Emergencies

Cardiovascular Emergencies selected from SAEM and IFEM undergraduate curriculum recommendations are uploaded into the website. You can read, listen or download all these chapters freely. More specific disease entities are on the way.

Abdominal Aortic Aneurysm (AAA)

by Lit Sin Quek Case Presentation A 75-year-old obese man comes to the emergency department. He has history C.O.P.D., hypertension. He is a smoker and on

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Acute Coronary Syndrome (ACS)

by Khalid Mohammed Ali, Shirley Ooi – Singapore Case Presentation A 46 years old man with a past medical history of hypertension and hyperlipidemia developed

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Acute Heart Failure (AHF)

by Walid Hammad – USA Case Presentation An ambulance crew rushes into your emergency department (ED) with a 56-year-old man. He is severely short of

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Aortic Dissection

by Shanaz Sajeed Introduction Aortic dissection carries high morbidity and mortality. Although patients generally present with acute symptoms and classic signs, a subset of patients

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Deep Vein Thrombosis (DVT)

by Elif Dilek Cakal Case Presentation An 85-year-old woman, with a history of congestive heart failure, presented with right leg pain and swelling of 2

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Hypertensive Emergencies

by Sadiye Yolcu Introduction Systemic hypertension is a common medical problem. It affects over 1 million people worldwide. ER clinicians commonly encounter this problem. Rapid

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Pulmonary Embolism

by Elif Dilek Cakal Case Presentation A 45-year-old female with no prior medical history presented to the emergency department (ED) with three days of constant shortness

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Selected Gastrointestinal Emergencies

Gastrointestinal Emergencies selected from SAEM and IFEM undergraduate curriculum recommendations are uploaded into the website. You can read, listen or download all these chapters freely. More specific disease entities are on the way.

Acute Appendicitis

by Ozlem Dikme Introduction About 7% of the population develops appendicitis in their lives. Males are affected 1.4 times higher than females, and teenagers more

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Acute Mesenteric Ischemia

by Rabind Antony Charles Case Presentation A 75-year-old woman presents to your Emergency Department (ED) with diffuse abdominal pain for the past day, associated with

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Biliary Disease

by Dan O’Brien Introduction The biliary system can be defined as the organs and ducts that create, transport and store bile and eventually release it

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Massive Gastrointestinal Bleeding

by Dan O’Brien Introduction Despite advances in diagnosis prevention and treatment, nonvariceal upper gastrointestinal bleeding is still a serious problem in clinical practice. The incidence

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Perforated Viscus

by Ozlem Dikme – Turkey Case Presentation A previously healthy 42-year-old male presented to the Emergency Department (ED) with a 3-day history of worsening abdominal

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A 68-year-old with wheezing

copd

Chronic Obstructive Pulmonary Disease (COPD)

by Ramin Tabatabai, David Hoffman, and Tiffany Abramson, USA

A 68-year-old male presents to the emergency department (ED) with audible wheezing, and he is in severe respiratory distress. He is speaking in 2-3 word sentences, and he is diaphoretic and slightly confused. Per the paramedic report, the patient is a two pack per day smoker. On physical examination, the patient demonstrates poor air movement, and you note that he has a “barrel chest.” As you pick up the phone to call the respiratory therapist for airway management, you wonder, “What other interventions should I initiate and are there other diagnoses I should be considering?”

What is the value of BiPAP on COPD?

Touch Me

BiPAP on COPD

The use of BiPAP led to decreased mortality (NNT=10), reduction in treatment failure (NNT=5) and decreased need for intubation (NNT=4).
Answer