Among Scott Weingart’s ED Critical Care Dirty Dozen for 2010 was Dr Smith’s ECG blog. The LITFL team thought it was about time we gave this great blog a shout out too. Dr. Stephen Smith is a faculty emergency physician at Hennepin County Medical Center and an Associate Professor of Emergency Medicine at the University [...]
Dangerous Love
Emergency Musical Interlude XXV
A Motorcyclist’s Irreparable Injury
aka Trauma Tribulation 008 A 26 year-old male was BIBA after falling off his stationary motorbike at a set of traffic lights. C-spine precautions were removed following palpation of his neck and assessment of his sphincter tone. Initially, his only complaint was pain to his right thumb, presumably from a hyperextension injury. However a detailed [...]
FACEM SCE 2011 066
Troubling Tachycardia
FACEM SCE 2010 060
FACEM SCE 2010 059

As duty consultant in a tertiary ED, you have just arrived for handover to a late shift on Monday evening. The department is full. There are no monitored or general cubicles available. More than 1/3 of the patients in cubicles are awaiting ward beds. Your medical staff are currently occupied with several high-acuity cases.
FACEM SCE 2010 058

A 3 year-old boy is brought to your ED by his concerned mother. He complained of progressive pain in his right groin after playing in the back garden. The boy is a usually healthy, developmentally normal child. On initial assessment he is in obvious discomfort, with noticeable sweating of his right leg.




























