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PhotographED

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 emn@lww.com.

Friday, March 15, 2019

Dr. Rory Spiegel says studies about a low tidal volume strategy in mechanical ventilation were likely positive not because the authors found true benefit but because harm was caused by a deleterious control strategy. (http://bit.ly/2HaaLgv.)

myths-low tidal volume.jpg

Tuesday, March 12, 2019

A 28-year-old man with a history of seasonal allergies has diffuse body aches and an associated rash that started after scuba diving the day before. What’s the diagnosis? Drs. Julia Hellman and Taylor Burkholder have the interesting answer. (http://bit.ly/2H7RJqZ.)

consult.jpg

Monday, March 11, 2019

Missing the angle of Gissane when evaluating the calcaneus spells trouble, like in the case of this patient, says Dr. Loice Swisher. Where is the angle of Gissane in this x-ray? (http://bit.ly/EMN-Lions-and-Tigers-and-Bears.)

LTB-Gissane1.jpg

Thursday, March 7, 2019

A 72-year-old man presents with dry cough for five days, abdominal pain, and constipation for three days. What does his ECG show and what’s the diagnosis? Find out from Dr. Brady Pregerson’s blog this month! (http://bit.ly/EMN-Bradycardia.)

bradycardia-pericardial effusion tamponade.jpg

Monday, March 4, 2019

Many EPs are reluctant not to institute some form of treatment for severely hypertensive patients, but short-acting oral or IV bolus drugs could result in adverse outcomes. (http://bit.ly/2H7YfOx.)

clinical pearl-lowering BP.jpg