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A 59-year-old man presents to your community emergency department (ED) with chest pain that is radiating to his back. His vital signs are normal and the ECG does not demonstrate a myocardial infarction. Your clinical gestalt has you suspecting an acute aortic dissection (AoD). While waiting for laboratory investigations, including troponin and d-dimer, you wonder…

A 79-year-old male with a past medical history of paroxysmal atrial fibrillation and insulin-dependent diabetes presented to the emergency department with generalized weakness. He was found to be hypothermic at 34.2 Celcius rectally, tachycardic at 140 bpm and in atrial fibrillation. He had a stable blood pressure and respiratory status. The patient had a urinary…

Chronic knee pain is common and debilitating. Patients often seek care in the emergency department (ED) setting when flares of pain affect their ability to ambulate, climb stairs, or even stand up from sitting.1 In many cases, these patients have been dealing with pain for years and have already exhausted the standard analgesic cocktail of…

At our program, you will experience all the learning opportunities and experiences of a major academic medical center, but also get focused, direct attention from a smaller group of passionate core faculty. We believe that experiential learning and respecting residents with autonomy are the most effective ways to teach emergency medicine. With more than 50…

The best questions often stem from the inquisitive learner. As educators, we love—and are always humbled—by those moments when we get to say “I don’t know.” For some of these questions, you may already know the answers. For others, you may never have thought to ask the question. For all, questions, comments, concerns, and critiques…

This past summer, it became quite apparent that larger and more intense forest fires were contributing to poor health in the United States.1 One of the consequences of the increase in forest fires was more air pollution. The incidence of asthma is higher if the air in your neighborhood is more polluted.2 The more nitrogen…

Many of ACEP’s benefits of membership are some of the most obvious and tangible—having a seat on the RUC—the influential body that sets your payment rates, our advocacy work at the state and federal levels, peer-reviewed research in Annals of Emergency Medicine, and of course, your monthly ACEP Now magazine. But with so many resources…

A 9-month-old male presents to emergency department (ED) with his mother for seizure. The child was diagnosed with seizure disorder at 2 months of age and has had multiple visits to the emergency department (ED) for seizures. The child was delivered at term vaginally, with normal prenatal period and labor. Immunizations are up to date….

Treating elevated blood pressure (BP) in patients being discharged from the emergency department (ED) is often a challenge for emergency physicians (EPs). Often, EPs refrain from prescribing anti-hypertensive therapy on discharge due to a perception that many of these patients may not require ED care, and the likelihood of adverse outcomes, such as stroke or…