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This blog serves as a bulletin board for emergency physicians to share unusual and interesting photos of life in the ED. It is also a partner with our Instagram account, @em_news, where you can find these photos on the go.

Have a clinical photo to share? Make sure it meets these criteria:
    • You must have taken the photo yourself. No “borrowing” from someone else or another website.
    • You must have written permission to submit someone else's photo. Send us the photographer’s name so we can give credit.
    • Sending a photo of a patient? You need his written permission to take the photo, and must send a copy of it to us.
    • Be sure to obscure the patient’s face and identifying details even if you have permission (HIPAA, you know).
    • Send us the particulars about your photo: the patient’s symptoms, history, tests performed, therapies started, disposition, and outcome.
Send your entries to

Wednesday, April 8, 2020

The ability to differentiate between superficial causes of swelling and a tappable joint effusion with ultrasound prevents unnecessary arthrocentesis procedures, says Dr. Christine Butts. (

sound-ultrasound for arthrocentesis-joint aspiration.jpg

Monday, April 6, 2020

Dr. James Roberts says patients with the signs and symptoms of severe hypertension need a review of diagnostic tests for acute target organ damage and quick treatment with IV meds in the ED. (

infocus-devising a plan for severe hypertension in the ED.jpg

Tuesday, March 31, 2020

Can determining the IVC/aorta ratio with ultrasound identify dehydration and predict its degree in pediatric patients? Dr. Christine Butts says the evidence just isn’t there to make it a reliable standalone indicator. (

sound-IVC aorta ratio-dehydration-pediatric patients.jpg

Monday, March 30, 2020

A 42-year-old man with a family history of early coronary disease presents with shortness of breath and an episode of syncope while lifting weights at the gym. What does his ECG show? (

brady-shortnessofbreath-syncope-intraventricular conduction delay-posterior fascicular block-ECG.jpg

Wednesday, March 25, 2020

Dr. James Roberts and Ms. Martha Roberts say the Z-track method is ideal for paracentesis because it minimizes fluid leakage from the puncture site and may reduce pain during the injection. (