Tips for Managing Acute Agitation in the Elderly
Problem SolvERs is the inaugural column by ACEP Now Associate Editor Dr. Catherine Marco, answering clinical questions while working at the patient’s bedside. A 91-year-old man is brought to the...
View ArticlePractical Considerations When Sharing Clinical Images for Treatment Purposes
Case A 69-year-old man presents from the assisted living facility with hip pain following a fall. He has a history of dementia and is oriented to name only. Radiographs show a left mid-shaft femur...
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Is It Time to Sunset Rectal Examinations in the Trauma Bay?
Case A 38-year-old man presents after a 15-foot fall from a ladder. He notes right chest pain and dyspnea. Vital signs are: blood pressure, 110/78; heart rate, 140; respiratory rate, 36; oxygen...
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Case Report: Does This Patient Have Decisional Capacity?
Case A 21-year-old man presented to the emergency department (ED) with bizarre behavior. He was found by bystanders running naked in the street and 911 was called. On initial ED presentation, he was...
View ArticlePart 1: Ethical Considerations in Treating Adolescent Psychiatric Emergencies
Case Presentation A 15-year-old boy presents to the emergency department (ED) via EMS for evaluation after getting into a fight at school. He had reportedly threatened another student with a knife and...
View ArticleLaw Enforcement Information Gathering in the Emergency Department
A 32-year-old man presents in police custody for bizarre behavior. He was the driver of a vehicle which struck a telephone pole. He was reportedly singing and dancing naked in the street following the...
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What Is the Best Defibrillation Strategy for Refractory Ventricular...
A 67-year-old man presents to the emergency department (ED) in cardiac arrest. He was found by bystanders after he collapsed and 911 was called. EMS physicians report he was found in ventricular...
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How to Manage Elderly Patient Pain without Opioids
A 77-year-old man presented to the emergency department (ED) with hip pain following a fall. On ED presentation, he was experiencing 10 out of 10 pain level. Physical examination was notable for left...
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Bougie: First Pass or Rescue Device?
A 68-year-old man presents to the emergency department (ED) with altered mental status and fever. Vital signs on arrival are: Temperature: 38.8 degrees Celsius Heart rate:128 Blood pressure: 74 over 48...
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