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See if you can figure out what’s going on with this all-over-the-place case!

What happens when the stroke patient awaiting transfer has a sudden clinical change? How do you manage it?   For more reading on today’s topic, check out: https://www.ebmedicine.net/topics/stroke/postthrombolysis-intracranial-hemorrhage https://www.ahajournals.org/doi/10.1161/STR.0000000000000513 https://thennt.com/nnt/thrombolytics-acute-ischemic-stroke/ https://www.ahajournals.org/do/10.1161/blog.20171227.203035

We all know patients boarding for admission or transfer are the new norm in emergency rooms nationwide. What happens when a patient pending transfer decompensates?

To learn more on today’s topic: https://www.emrap.org/corependium/chapter/recgSYYhIe7uv1r8x/Pediatric-DKA#h.mhab9ovl1fy9 https://www.chop.edu/clinical-pathway/diabetes-type1-with-dka-clinical-pathway https://emergencymedicinecases.com/wp-content/uploads/filebase/pdf/Episode%20063%20Apr2015%20Pediatric%20DKA.pdf https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-diabetes#Cerebral-Edema Uptodate articles – “Hypokalemia in Children,” “Diabetic ketoacidosis in children: Cerebral injury (cerebral edema),”Diabetic ketoacidosis in children: Treatment and complications”

Gotta be gastroenteritis right? Tune in to find out!

Let’s talk teeth!   For more learning, check out these resources: https://www.ncbi.nlm.nih.gov/books/NBK570590/ https://emergencymedicinecases.com/traumatic-dental-emergencies/ https://coreem.net/core/dental-trauma/ https://www.nuemblog.com/blog/oral-nerve-blocks

Crotalinae, elapidae, hymenoptera and more! Check out these additional resources for all things bites and stings! EB Medicine North American Snake Envenomations ALiEM Envenomations EMRAP Corependium Snake Bites and Insect/Arthropod Stings Links available on emclerkship.com

Snakes and scorpions and spiders, oh my! What bit our patient and how did Dr. Rumney handle it?

Hypertensive emergency? Urgency? Crisis? What's the difference?   For further reading, check out: https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-hypertensive-emergencies

The altered hypertensive elderly patient - what's the diagnosis? Stroke? Trauma? Sepsis? Dr. Tweedt gets put to the test in this latest case, following a new format designed to mirror new 2026 ABEM Certifying Exam.

Do you struggle with rashes? Learn about this life threatening rash on our deep dive. If you haven't listened to the case yet, first check out The Game Season 3 Round 9 with Maddie Watts and Sean Rumney.   Sources: UptoDate - SJS/TEN Diagnosis and Management https://www.dermacompass.net/en/diseases/stevens-johnson-syndrome-and-toxic-epidermal-necrolysis3 https://dermnetnz.org/topics/stevens-johnson-syndrome-toxic-epidermal-necrolysis https://www.ncbi.nlm.nih.gov/books/NBK574530/ https://onlinelibrary.wiley.com/doi/full/10.1155/dth/6527730 https://pmc.ncbi.nlm.nih.gov/articles/PMC8814784/

Everyone's favorite chief complaint... rash. What could it be? Join Dr. Rumney in cracking this latest case